Aryl piperidines as monoacylglycerol lipase modulators

ABSTRACT

Aryl piperidine compounds of Formula (I), and pharmaceutically acceptable salts, isotopes, N-oxides, solvates, and stereoisomers thereof, pharmaceutical compositions containing them, and methods of using them including methods for treating disease states, disorders, and conditions associated with MGL modulation, such as those associated with pain, psychiatric disorders, neurological disorders (including, but not limited to major depressive disorder, treatment resistant depression, anxious depression, autism spectrum disorders, Asperger syndrome, bipolar disorder), cancers and eye conditions:wherein X, R2a, R2b, R3, R4, R5a and R5b are as defined herein.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims priority to U.S. Patent Application No. 63/000,282, filed on Mar. 26, 2020, which is incorporated herein in its entirety.

FIELD OF THE INVENTION

The present invention is related to certain aryl piperidine chemical entities having MGL modulating properties, pharmaceutical compositions comprising these chemical entities, chemical processes for preparing these chemical entities and their use in the treatment of diseases, disorders or conditions associated with MGL receptor activity in subjects, in particular humans.

BACKGROUND OF THE INVENTION

Cannabis Sativa and analogs of Δ⁹-tetrahydrocannabinol have been used since the days of folk medicine for therapeutic purposes. The endocannabinoid system consists of two G-protein coupled receptors, cannabinoid receptor type 1 (CB1) (Matsuda et al., Nature, 1990, 346, 561-4) and cannabinoid receptor type 2 (CB2) (Munro et al., Nature, 1993, 365, 61-5). CB1 receptor is one of the most abundant G-protein coupled receptor expressed in the brain (Herkenam et al., Proc. Nat. Acad. Sci., 1990, 87 (5), 1932-1936). CB1 is also expressed peripherally in the liver, gastrointestinal tract, pancreas, adipose tissue, and skeletal muscles (Di Marzo et al., Curr Opin Lipidol, 2007, 18, 129-140). CB2 is predominantly expressed in immune cells such as monocytes (Pacher et al., Amer J Physiol, 2008, 294, H1133-H1134) and under certain conditions (inflammation) in the brain ((Benito et al., Brit J Pharmacol, 2008, 153, 277-285) and in skeletal (Cavuoto et al., Biochem Biophys Res Commun, 2007, 364, 105-110) and cardiac muscles (Hajrasouliha et al., Eur J Pharmacol, 2008, 579, 246-252).

In 1992, N-arachidonoylethanolamine (AEA or anandamide) was found to be an endogenous ligand for cannabinoid receptors (Devane et al., Science, 1992, 258, 1946-9). Subsequently, 2-arachidonoylglycerol (2-AG) was also identified as an additional endogenous ligand for the cannabinoid receptors (Mechoulam et al., Biochem Pharmacol, 1995, 50, 83-90; Sugiura et al., Biochem Biophys Res Commun, 1995, 215, 89-97). Concentrations of 2-AG were reported to be at least 100 times higher than these of anandamide in the rat brain (Buczynski and Parsons, Brit J Pharmacol, 2010, 160 (3), 423-42). Therefore 2-AG may play more essential physiological roles than anandamide in the brain endocannabinoid system (Sugiura et al. Prostaglandins Leukot Essent Fatty Acids., 2002, February-March, 66(2-3):173-92). The endocannabinoid 2-AG is a full agonist for CB1 and CB2 receptors, while anandamide is a partial agonist for both receptors (Suguira et al., Prog Lipid Res, 2006, 45(5):405-46). Unlike many classical neurotransmitters, endocannabinoids signal through a retrograde mechanism. They are synthesized on demand in postsynaptic neurons and then rapidly degraded following binding to presynaptic cannabinoid receptors (Ahn et al., Chem Rev. 2008, 108(5):1687-707). Monoacylglycerol lipase (MGLL, also known as MAG lipase and MGL) is the serine hydrolase responsible for the degradation of 2-AG into arachidonic acid and glycerol in the central nervous system (Mechoulam et al., Biochem Pharmacol, 1995, 50, 83-90; Sugiura et al., Biochem Biophys Res Commun, 1995, 215, 89-97; Long et al., Nat Chem Biol. 2009 January; 5(1):37-44;), Schlosburg et al, Nat Neurosci., 2010, September; 13(9):1113-9) and peripheral tissues (Long et al., Chem Biol., 2009 Jul. 31; 16(7):744-53). Anandamide is hydrolyzed by fatty acid amide hydrolase (FAAH) (Piomelli, Nat Rev Neurosci, 2003, 4, 873-884). MGL exists in both soluble and membrane bound forms (Dinh et al., Proc Natl Acad Sci USA., 2002 Aug. 6; 99(16):10819-24). In the brain MGL is located in presynaptic neurons (Straiker et al., Mol Pharmacol., 2009, December; 76(6):1220-7) and astrocytes (Walter et al., J Neurosci., 2004 Sep. 15; 24(37):8068-74) within regions associated with high CB1 receptor density. Compared to wild-type controls, genetic ablation of MGL expression produces 10-fold increase in brain 2-AG levels without affecting anandamide concentration (Schlosburg et al., Nat Neurosci., 2010, September; 13(9):1113-9).

Thus, MGL modulation offers an interesting strategy for potentiating the cannabinoid system. The primary advantage of this approach is that only brain regions where endocannabinoids are actively produced will be modulated, potentially minimizing the side effects associated with exogenous CB1 agonists. Pharmacological inactivation of MGL by covalent inhibitors in animals increase 2-AG content in brain and peripheral tissues and has been found to produce antinociceptive, anxiolytic and anti-inflammatory effects that are dependent on CB1 and/or CB2 receptors (Long et al., Nat Chem Biol., 2009, January, 5(1):37-44; Ghosh et al., Life Sci., 2013 Mar. 19, 92(8-9):498-505; Bedse et al., Biol Psychiatry., 2017, Oct. 1, 82(7):488-499; Bernal-Chico et al., Glia., 2015, January, 63(1):163-76; Patel et al. Neurosci Biobehav Rev., 2017, May, 76(Pt A):56-66; Betse et al., Transl Psychiatry., 2018, Apr. 26, 8(1):92). In addition to the role of MGL in terminating 2-AG signaling, MGL modulation, including MGL inhibition also promotes CB1/2-independent effects on neuroinflammation (Nomura et al., Science., 2011, Nov. 11; 334(6057):809-13). MGL modulation, including MGL inhibition leads to reduction in proinflammatory prostanoid signaling in animal models of traumatic brain injury (Katz et al., J Neurotrauma., 2015, Mar. 1; 32(5):297-306; Zhang et al., J Cereb Blood Flow Metab., 2015, Mar. 31; 35(4): 443-453), neurodegeneration including Alzheimer's disease (Piro et al., Cell Rep., 2012, Jun. 28, 1(6):617-23; Wenzel et al., Life Sci., 2018, Aug. 15, 207:314-322; Chen et al., Cell Rep., 2012, Nov. 29, 2(5):1329-39), Parkinson's disease (Nomura et al., Science, 2011, Nov. 11, 334(6057), 809-13; Pasquarelli et al., Neurochem Int., 2017, November, 110:14-24), amyotrophic lateral sclerosis (Pasquarelli et al., Neuropharmacology, 2017, Sep. 15, 124:157-169), multiple sclerosis (Hernadez-Torres et al., Angew Chem Int Ed Engl., 2014, Dec. 8, 53(50):13765-70; Bernal-Chico et al., Glia., 2015, January, 63(1):163-76), Huntington's disease (Covey et al., Neuropsychopharmacology, 2018, 43, 2056-2063), Tourette syndrome and status epilepticus (Terrone et al., Epilepsia., 2018, January, 59(1), 79-91; von Ruden et al., Neurobiol Dis., 2015, May; 77:238-45).

Therefore, by potentiating the cannabinoid system and attenuating proinflammatory cascades, MGL modulation, including MGL inhibition offers a compelling therapeutic approach for the treatment of a vast array of complex diseases. Importantly, MGL modulation, including MGL inhibition in animals does not produces the full spectrum of neurobehavioral effects observed with Δ⁹-tetrahydrocannabinol and other CB1 agonists (Tuo et al., J Med Chem., 2017, Jan. 12, 60(1), 4-46; Mulvihill et al., Life Sci., 2013, Mar. 19, 92(8-9), 492-7).

Endocannabinoid hypoactivity is a risk factor for the treatment of depression, anxiety and post-traumatic stress disorders. Millennia of human use of Cannabis sativa, and a brief period in which humans were treated with the endocannabinoid antagonist, rimonabant, provide support for that hypothesis. 2-AG levels are decreased in individuals with major depression (Hill et al., Pharmacopsychiatry., 2008, March; 41(2): 48-53; Hill et al., Psychoneuroendocrinology., 2009, September; 34(8): 1257-1262). Low circulating 2-AG levels predict rates of depression (Hauer et al., Rev Neurosci., 2012, 23(5-6):681-90). Reduced circulating 2-AG has been found in patient with post-traumatic stress disorder (PTSD) (Hill et al., Psychoneuroendocrinology, 2013, 38 (12), 2952-2961). Healthy volunteers exposed to chronic stressors exhibited progressively diminished circulating 2-AG levels which correlated with the onset of reductions in measures of positive emotions (Yi et al., Progress in Neuro-Psychopharmacology and Biological Psychiatry, 2016, 67 (3), 92-97). The CB1 receptor inverse agonist/antagonist Rimonabant has been withdrawn from the market due to the high incidence of severe depression and suicidal ideation (Christensen et al., The Lancet, 2007, 370, 1706-1713). Therefore, MGL modulators are potentially useful for the treatment of mood disorders, anxiety, PTSD, autism spectrum disorders, and Asperger syndrome (Folkes et al., J Clin Invest. 2020; 130(4):1728-1742, Jung et al., Nature Communications, 2012, 3, 1080; Wang et al., Mol Psychiatry, 2018 August, 23(8): 1798-1806).

Cannabinoid receptor agonists are clinically used to treat pain, spasticity, emesis, and anorexia (Di Marzo, et al., Annu Rev Med., 2006, 57:553-74; Ligresti et al., Curr Opin Chem Biol., 2009, June; 13(3):321-31). Therefore, MGL modulators, including MGL inhibitors are also potentially useful for these indications. MGL exerts CB1-dependant antinociceptive effects in animal models of noxious chemical, inflammatory, thermal and neuropathic pain (Guindon et al., Br J Pharmacol., 2011, August; 163(7):1464-78; Kinsey et al., J Pharmacol Exp Ther., 2009, September; 330(3):902-10; Long et al., Nat Chem Biol., 2009, January; 5(1):37-44). MGL blockade reduces mechanical and acetone induced cold allodynia in mice subjected to chronic constriction injury of the sciatic nerve (Kinsey et al., J Pharmacol Exp Ther., 2009, September; 330(3):902-10). MGL inhibition produces opiate-sparing events with diminished tolerance, constipation, and cannabimimetic side effects (Wilkerson et al., J Pharmacol Exp Ther., 2016, April; 357(1):145-56). MGL blockade is protective in model of inflammatory bowel disease (Alhouayek et al., FASEB J., 2011, August; 25(8):2711-21). MGL inhibition also reverse Paclitaxel-induced nociceptive behavior and proinflammatory markers in a mouse model of chemotherapy-induced neuropathy (Curry et al., J Pharmacol Exp Ther., 2018, July; 366(1):169-18). MGL inhibitors are also potentially useful for the treatment of chronic inflammatory condition of the urinary bladder like interstitial cystitis (Chinnadurai et al., 2019, October; 131: 109321).

Inhibition of 2-AG hydrolysis exerts anti-proliferative activity and reduction in prostate cancer cell invasiveness (Nithipatikom et al., Cancer Res., 2004, Dec. 15, 64(24):8826-30; Nithipatikom et al., Biochem Biophys Res Commun., 2005, Jul. 15, 332(4):1028-33; Nithipatikom et al., Prostaglandins Other Lipid Mediat., 2011, February, 94(1-2):34-43). MGL is upregulated in aggressive human cancer cells and primary tumors where it has a unique role of providing lipolytic sources of free fatty acids for synthesis of oncogenic signaling lipids that promote cancer aggressiveness. Thus, beyond the physiological roles of MGL in mediated endocannabinoid signaling, MGL in cancer plays a distinct role in modulating the fatty acid precursor pools for synthesis of protumorigenic signaling lipids in malignant human cancer cells.

MGL blockade shows anti-emetic and anti-nausea effects in a lithium chloride model of vomiting in shrews (Sticht et al., Br J Pharmacol., 2012, April, 165(8):2425-35).

MGL modulators, including MGL inhibitors may have utility in modulating drug dependence of opiates. MGL blockade reduce the intensity of naloxone-precipitated morphine withdrawal symptoms in mice. MGL blockade also attenuated spontaneous withdrawal signs in morphine-dependent mice (Ramesh et al., J Pharmacol Exp Ther., 2011, October, 339(1):173-85).

MGL modulators are also potentially useful for the treatment of eye conditions, including but not limited to, glaucoma and disease states arising from elevated intraocular pressure (Miller et al., Pharmaceuticals, 2018, 11, 50).

SUMMARY OF THE INVENTION

Embodiments of the present invention relate to chemical entities, pharmaceutical compositions containing them, methods of making and purifying them, and methods for using them the treatment of diseases, disorders, and conditions associated with the MGL modulation. An additional embodiment of the invention is a method of treating a subject suffering from or diagnosed with a disease, disorder, or condition associated with the MGL modulation using at least one chemical entity of the invention.

Additional embodiments, features, and advantages of the invention will be apparent from the following detailed description and through practice of the invention.

Described herein are compounds of Formula (I):

-   -   wherein     -   X is CH₂ or O;     -   R^(2a) and R^(2b) are each independently selected from H and         C₁₋₄alkyl;     -   R³ is selected from:         -   (i) phenyl, benzyl, or monocyclic heteroaryl, each             optionally substituted with one, two, or three substituents             selected from: halo, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆alkyl-OH,             OC₁₋₆alkyl, OC₁₋₆haloalkyl, SC₁₋₆alkyl, SF₅, Si(CH₃)₃,             NR^(a)R^(b), C₃₋₆cycloalkyl, OC₃₋₆cycloalkyl, phenyl,             O-phenyl, and O-pyridyl, wherein each cycloalkyl, phenyl, or             pyridyl is optionally substituted with one or two C₁₋₄alkyl,             C₁₋₄haloalkyl, or halo groups; or two adjacent ring             substituents on the phenyl, benzyl, or monocyclic             heteroaryl, taken together with the atoms to which they are             attached form a fused monocyclic C₅₋₆cycloalkyl or             heterocycloalkyl ring, each ring optionally substituted with             one or two C₁₋₄alkyl, C₁₋₄haloalkyl, or halo groups;             -   wherein R and R^(b) are each independently H or                 C₁₋₄alkyl;         -   (ii) a bicyclic heteroaryl optionally substituted with             C₁₋₄alkyl or halo; and         -   (iii) C₃₋₆alkyl or C₃₋₆cycloalkyl optionally substituted             with C₁₋₄alkyl, C₁₋₄haloalkyl, or halo;     -   R⁴ is selected from: H, F, and C₁₋₃alkyl; and     -   R^(5a) and R^(5b) are each independently selected from H and         CH₃;     -   and pharmaceutically acceptable salts, isotopes, N-oxides,         solvates, and stereoisomers thereof.

In some embodiments are compounds of Formula (I):

-   -   wherein     -   X is CH₂ or O;     -   R^(2a) and R^(2b) are each independently selected from H and         C₁₋₄alkyl;     -   R³ is selected from:         -   (a) phenyl; phenyl substituted with one, two or three             members each independently selected from: halo, C₁₋₆alkyl,             C₁₋₆haloalkyl, C(CH₃)₂OH, OC₁₋₆alkyl, OC₁₋₆haloalkyl, SCH₃,             SF₅, Si(CH₃)₃, N(CH₃)₂, C₃₋₆cycloalkyl, OC₃₋₆cycloalkyl,             phenyl, O-phenyl, O-pyridyl and C₃₋₆cycloalkyl substituted             with CH₃; and         -   (b) pyridyl substituted with C₁₋₆alkyl; naphthyl;

-   -   R⁴ is selected from: H, F, and C₁₋₃alkyl; and     -   R^(5a) and R^(5b) are each independently selected from H and         CH₃;     -   and pharmaceutically acceptable salts, isotopes, N-oxides,         solvates, and stereoisomers thereof.

DETAILED DESCRIPTION OF THE INVENTION

As used herein, the terms “including”, “containing” and “comprising” are used in their open, non-limiting sense.

Unless qualified specifically in particular instances of use, the term “alkyl” refers to a straight- or branched-chain alkyl group having from 1 to 8 carbon atoms in the chain. Examples of alkyl groups include methyl (Me), ethyl (Et), n-propyl, isopropyl, butyl, isobutyl, sec-butyl, tert-butyl (tBu), pentyl, isopentyl, tert-pentyl, hexyl, isohexyl, and groups that in light of the ordinary skill in the art and the teachings provided herein would be considered equivalent to any one of the foregoing examples. “C₁₋₆alkyl” refers to straight- or branched-chain alkyl group having from 1 to 6 carbon atoms in the chain. “C₁₋₄alkyl” refers to straight- or branched-chain alkyl group having from 1 to 4 carbon atoms in the chain. “C₁₋₃alkyl” refers to straight- or branched-chain alkyl group having from 1 to 3 carbon atoms in the chain.

The term “cycloalkyl” refers to a saturated or partially saturated, monocyclic, fused polycyclic, or spiro polycyclic carbocycle having from 3 to 12 ring atoms per carbocycle. Illustrative examples of cycloalkyl groups include the following entities, in the form of properly bonded moieties:

The term “halogen” or “halo” represents chlorine, fluorine, bromine, or iodine.

The term “haloalkyl” refers to a straight- or branched-chain alkyl group having from 1 to 6 carbon atoms in the chain optionally substituting hydrogens with halogens. The term “C₁₋₆haloalkyl” as used here refers to a straight- or branched-chain alkyl group having from 1 to 6 carbon atoms in the chain, optionally substituting hydrogens with halogens. The term “C₁₋₄ haloalkyl” as used here refers to a straight- or branched-chain alkyl group having from 1 to 4 carbon atoms in the chain, optionally substituting hydrogens with halogens. Examples of “haloalkyl” groups include trifluoromethyl (CF₃), difluoromethyl (CF₂H), monofluoromethyl (CH₂F), pentafluoroethyl (CF₂CF₃), tetrafluoroethyl (CHFCF₃), monofluoroethyl (CH₂CH₂F), trifluoroethyl (CH₂CF₃), tetrafluorotrifluoromethylethyl (CF(CF₃)₂), and groups that in light of the ordinary skill in the art and the teachings provided herein would be considered equivalent to any one of the foregoing examples.

The term “aryl” refers to a monocyclic, aromatic carbocycle (ring structure having ring atoms that are all carbon) having 6 atoms per ring (Carbon atoms in the aryl groups are sp2 hybridized.)

The term “phenyl” represents the following moiety:

The term “pyridinyl” or “pyridyl” represents the following moiety:

The term “heteroaryl” as used herein, refers to an aromatic monocyclic or multicyclic ring system comprising 5 to 14 ring atoms, wherein from 1 to 4 of the ring atoms is independently O, N or S and the remaining ring atoms are carbon atoms. In one embodiment, a heteroaryl group has 5 to 10 ring atoms. In another embodiment, a heteroaryl group is monocyclic and has 5 or 6 ring atoms. In another embodiment, a heteroaryl group is monocyclic and has 5 or 6 ring atoms and at least one nitrogen ring atom. A heteroaryl group is joined via a ring carbon atom and any nitrogen atom of a heteroaryl can be optionally oxidized to the corresponding N-oxide. The term “heteroaryl” also encompasses a heteroaryl group, as defined above, which has been fused to a benzene ring.

The term “heterocycloalkyl” as used herein, refers to a ring system which is non-aromatic, 1 to 4 of the ring atoms is independently O, N or S and the remaining ring atoms are carbon atoms, which may optionally be fused to another ring (aromatic or heteroaromatic). Non-limiting examples of illustrative heterocycloalkyl include:

Those skilled in the art will recognize that the species of heteroaryl, heterocyclyloalkyl, cycloalkyl, aryl groups listed or illustrated above are not exhaustive, and that additional species within the scope of these defined terms may also be selected.

The term “substituted” means that the specified group or moiety bears one or more substituents. The term “unsubstituted” means that the specified group bears no substituents. The term “optionally substituted” means that the specified group is unsubstituted or substituted by one or more substituents. Where the term “substituted” is used to describe a structural system, the substitution is meant to occur at any valency-allowed position on the system.

The term “variable point of attachment” means that a group is allowed to be attached at more than one alternative position in a structure. The attachment will always replace a hydrogen atom on one of the ring atoms. In other words, all permutations of bonding are represented by the single diagram, as shown in the illustrations below.

Those skilled in the art will recognize that that if more than one such substituent is present for a given ring; the bonding of each substituent is independent of all of the others. The groups listed or illustrated above are not exhaustive.

The term “substituted” means that the specified group or moiety bears one or more substituents. The term “unsubstituted” means that the specified group bears no substituents. The term “optionally substituted” means that the specified group is unsubstituted or substituted by one or more substituents. Where the term “substituted” is used to describe a structural system, the substitution is meant to occur at any valency-allowed position on the system.

Any formula given herein is intended to represent compounds having structures depicted by the structural formula as well as certain variations or forms. In particular, compounds of any formula given herein may have asymmetric centers and therefore exist in different enantiomeric forms. All optical isomers and stereoisomers of the compounds of the general formula, and mixtures thereof, are considered within the scope of such formula. The compounds of this invention may possess one or more asymmetric centers; such compounds can therefore be produced as individual (R)- or (S)-stereoisomers or as mixtures thereof. Thus, any formula given herein is intended to represent a racemate, one or more of its enantiomeric forms, one or more of its diastereomeric forms, and mixtures thereof. Additionally, any formula given herein is intended to refer also to any one of: hydrates, solvates, polymorphs and of such compounds, and mixtures thereof, even if such forms are not listed explicitly.

The term “R” at a stereocenter designates that the stereocenter is purely of the R-configuration as defined in the art; likewise, the term “S” means that the stereocenter is purely of the S-configuration. As used herein, the term “RS” refers to a stereocenter that exists as a mixture of the R- and S-configurations.

Compounds containing one stereocenter drawn without a stereo bond designation are a mixture of 2 enantiomers. Compounds containing 2 stereocenters both drawn without stereo bond designations are a mixture of 4 diastereomers. Compounds with 2 stereocenters both labeled “RS” and drawn with stereo bond designations are a 2-component mixture with relative stereochemistry as drawn. Unlabeled stereocenters drawn without stereo bond designations are a mixture of the R- and S-configurations. For unlabeled stereocenters drawn with stereo bond designations, the absolute stereochemistry is as depicted.

Reference to a compound herein stands for a reference to any one of: (a) the actually recited form of such compound, and (b) any of the forms of such compound in the medium in which the compound is being considered when named. For example, reference herein to a compound such as R—COOH, encompasses reference to any one of: for example, R—COOH(s), R—COOH(sol), and R—COO-(sol). In this example, R—COOH(s) refers to the solid compound, as it could be for example in a tablet or some other solid pharmaceutical composition or preparation; R—COOH(sol) refers to the undissociated form of the compound in a solvent; and R—COO-(sol) refers to the dissociated form of the compound in a solvent, such as the dissociated form of the compound in an aqueous environment, whether such dissociated form derives from R—COOH, from a salt thereof, or from any other entity that yields R—COO— upon dissociation in the medium being considered. In another example, an expression such as “exposing an entity to compound of formula R—COOH” refers to the exposure of such entity to the form, or forms, of the compound R—COOH that exists, or exist, in the medium in which such exposure takes place. In still another example, an expression such as “reacting an entity with a compound of formula R—COOH” refers to the reacting of (a) such entity in the chemically relevant form, or forms, of such entity that exists, or exist, in the medium in which such reacting takes place, with (b) the chemically relevant form, or forms, of the compound R—COOH that exists, or exist, in the medium in which such reacting takes place. In this regard, if such entity is for example in an aqueous environment, it is understood that the compound R—COOH is in such same medium, and therefore the entity is being exposed to species such as R—COOH(aq) and/or R—COO-(aq), where the subscript “(aq)” stands for “aqueous” according to its conventional meaning in chemistry and biochemistry. A carboxylic acid functional group has been chosen in these nomenclature examples; this choice is not intended, however, as a limitation but it is merely an illustration. It is understood that analogous examples can be provided in terms of other functional groups, including but not limited to hydroxyl, basic nitrogen members, such as those in amines, and any other group that interacts or transforms according to known manners in the medium that contains the compound. Such interactions and transformations include, but are not limited to, dissociation, association, tautomerism, solvolysis, including hydrolysis, solvation, including hydration, protonation, and deprotonation. No further examples in this regard are provided herein because these interactions and transformations in a given medium are known by any one of ordinary skill in the art.

Any formula given herein is also intended to represent unlabeled forms as well as isotopically labeled forms of the compounds. Isotopically labeled compounds have structures depicted by the formulas given herein except that one or more atoms are replaced by an atom having a selected atomic mass or mass number in an enriched form. Examples of isotopes that can be incorporated into compounds of the invention in a form that exceeds natural abundances include isotopes of hydrogen, carbon, nitrogen, oxygen, phosphorous, fluorine, chlorine, and iodine, such as ²H (or chemical symbol D), ³H (or chemical symbol T), ¹¹C, ¹³C, ¹⁴C, ¹⁵N, ¹⁸O, ¹⁷O, ³¹P, ³²P, ³⁵S, ¹⁸F, ³⁶Cl, and ¹²⁵I, respectively. Such isotopically labelled compounds are useful in metabolic studies (preferably with ¹⁴C), reaction kinetic studies (with, for example ²H or ³H), detection or imaging techniques [such as positron emission tomography (PET) or single-photon emission computed tomography (SPECT)] including drug or substrate tissue distribution assays, or in radioactive treatment of patients. In particular, an ¹⁸F or ¹¹C labeled compound may be particularly preferred for PET or SPECT studies. Further, substitution with heavier isotopes such as deuterium (i.e., ²H, or D) may afford certain therapeutic advantages resulting from greater metabolic stability, for example increased in vivo half-life or reduced dosage requirements. Isotopically labeled compounds of this invention can generally be prepared by carrying out the procedures disclosed in the schemes or in the examples and preparations described below by substituting a readily available isotopically labeled reagent for a non-isotopically labeled reagent.

When referring to any formula given herein, the selection of a particular moiety from a list of possible species for a specified variable is not intended to define the same choice of the species for such variable appearing elsewhere. In other words, where a variable appears more than once, the choice of the species from a specified list is independent of the choice of the species for the same variable elsewhere in the formula, unless stated otherwise.

The term C_(n-m) alkyl refers to an aliphatic chain, whether straight or branched, with a total number N of carbon members in the chain that satisfies n≤N≤m, with m>n.

When the same plurality of substituents is assigned to various groups, the specific individual substituent assignment to each of such groups is meant to be independently made with respect to the specific individual substituent assignments to the remaining groups. By way of illustration, but not as a limitation, if each of groups Q and R can be H or F, the choice of H or F for Q is made independently of the choice of H or F for R, so the choice of assignment for Q does not determine or condition the choice of assignment for R, or vice-versa, unless it is expressly indicated otherwise. Illustrative claim recitation in this regard would read as “each of Q and R is independently H or F”, or “each of Q and R is independently selected from H and F”.

Unless indicated otherwise, the description or naming of a particular compound in the specification and claims is intended to include both individual enantiomers and mixtures, racemic or otherwise, thereof. The methods for the determination of stereochemistry and the separation of stereoisomers are well-known in the art.

In another example, a zwitterionic compound would be encompassed herein by referring to a compound that is known to form a zwitterion, even if it is not explicitly named in its zwitterionic form. Terms such as zwitterion, zwitterions, and their synonyms zwitterionic compound(s) are standard IUPAC-endorsed names that are well known and part of standard sets of defined scientific names. In this regard, the name zwitterion is assigned the name identification CHEBI:27369 by the Chemical Entities of Biological Interest (ChEBI) dictionary of molecular entities. As generally well known, a zwitterion or zwitterionic compound is a neutral compound that has formal unit charges of opposite sign. Sometimes these compounds are referred to by the term “inner salts”. Other sources refer to these compounds as “dipolar ions”, although the latter term is regarded by still other sources as a misnomer. As a specific example, aminoethanoic acid (the amino acid glycine) has the formula H₂NCH₂COOH, and it exists in some media (in this case in neutral media) in the form of the zwitterion ⁺H₃NCH₂COO⁻. Zwitterions, zwitterionic compounds, inner salts, and dipolar ions in the known and well-established meanings of these terms are within the scope of this invention, as would in any case be so appreciated by those of ordinary skill in the art. Because there is no need to name each and every embodiment that would be recognized by those of ordinary skill in the art, no structures of the zwitterionic compounds that are associated with the compounds of this invention are given explicitly herein. They are, however, part of the embodiments of this invention. No further examples in this regard are provided herein because the interactions and transformations in a given medium that lead to the various forms of a given compound are known by any one of ordinary skill in the art.

When referring to any formula given herein, the selection of a particular moiety from a list of possible species for a specified variable is not intended to define the same choice of the species for the variable appearing elsewhere. In other words, where a variable appears more than once, the choice of the species from a specified list is independent of the choice of the species for the same variable elsewhere in the formula, unless stated otherwise.

By way of a first example on substituent terminology, if substituent S¹ _(example) is one of S₁ and S₂, and substituent S² _(example) is one of S₃ and S₄, then these assignments refer to embodiments of this invention given according to the choices S¹ _(example) is S₁ and S² _(example) is S₃; S¹ _(example) is S₁ and S² _(example) is S₄; S¹ _(example) is S₂ and S² _(example) is S₃; S¹ _(example) is S₂ and S² _(example) is S₄; and equivalents of each one of such choices. The shorter terminology “S¹ _(example) is one of S₁ and S₂, and S² _(example) is one of S₃ and S₄” is accordingly used herein for the sake of brevity, but not by way of limitation. The foregoing first example on substituent terminology, which is stated in generic terms, is meant to illustrate the various substituent assignments described herein.

Furthermore, when more than one assignment is given for any member or substituent, embodiments of this invention comprise the various groupings that can be made from the listed assignments, taken independently, and equivalents thereof. By way of a second example on substituent terminology, if it is herein described that substituent S_(example) is one of S₁, S₂, and S₃, this listing refers to embodiments of this invention for which S_(example) is S₁; S_(example) is S₂; S_(example) is S₃; S_(example) is one of S₁ and S₂; S_(example) is one of S₁ and S₃; S_(example) is one of S₂ and S₃; S_(example) is one of S₁, S₂ and S₃; and S_(example) is any equivalent of each one of these choices. The shorter terminology “S_(example) is one of S₁, S₂, and S₃” is accordingly used herein for the sake of brevity, but not by way of limitation. The foregoing second example on substituent terminology, which is stated in generic terms, is meant to illustrate the various substituent assignments described herein.

The nomenclature “C_(i)-C_(j)” with j>i, when applied herein to a class of substituents, is meant to refer to embodiments of this invention for which each and every one of the number of carbon members, from i to j including i and j, is independently realized. By way of example, the term C₁-C₃ refers independently to embodiments that have one carbon member (C₁), embodiments that have two carbon members (C₂), and embodiments that have three carbon members (C₃).

A “pharmaceutically acceptable salt” is intended to mean a salt of an acid or base of a compound represented by Formula (I) that is non-toxic, biologically tolerable, or otherwise biologically suitable for administration to the subject. See, generally, S. M. Berge, et al., “Pharmaceutical Salts”, J. Pharm. Sci., 1977, 66:1-19, and Handbook of Pharmaceutical Salts, Properties, Selection, and Use, Stahl and Wermuth, Eds., Wiley-VCH and VHCA, Zurich, 2002. Preferred pharmaceutically acceptable salts are those that are pharmacologically effective and suitable for contact with the tissues of patients without undue toxicity, irritation, or allergic response.

A compound of Formula (I) may possess a sufficiently acidic group, a sufficiently basic group, or both types of functional groups, and accordingly react with a number of inorganic or organic bases, and inorganic and organic acids, to form a pharmaceutically acceptable salt.

Examples of pharmaceutically acceptable salts include sulfates, pyrosulfates, bisulfates, sulfites, bisulfites, phosphates, monohydrogen-phosphates, dihydrogenphosphates, metaphosphates, pyrophosphates, chlorides, bromides, iodides, acetates, propionates, decanoates, caprylates, acrylates, formates, isobutyrates, caproates, heptanoates, propiolates, oxalates, malonates, succinates, suberates, sebacates, fumarates, maleates, butyne-1,4-dioates, hexyne-1,6-dioates, benzoates, chlorobenzoates, methylbenzoates, dinitrobenzoates, hydroxybenzoates, methoxybenzoates, phthalates, sulfonates, xylenesulfonates, phenylacetates, phenylpropionates, phenylbutyrates, citrates, lactates, γ-hydroxybutyrates, glycolates, tartrates, methane-sulfonates, propanesulfonates, naphthalene-1-sulfonates, naphthalene-2-sulfonates, and mandelates.

Compounds of Formula (I) may contain at least one nitrogen of basic character, so desired pharmaceutically acceptable salts may be prepared by any suitable method available in the art, for example, treatment of the free base with an inorganic acid, such as hydrochloric acid, hydrobromic acid, sulfuric acid, sulfamic acid, nitric acid, boric acid, phosphoric acid, and the like, or with an organic acid, such as acetic acid, phenylacetic acid, propionic acid, stearic acid, lactic acid, ascorbic acid, maleic acid, hydroxymaleic acid, isethionic acid, succinic acid, valeric acid, fumaric acid, malonic acid, pyruvic acid, oxalic acid, glycolic acid, salicylic acid, oleic acid, palmitic acid, lauric acid, a pyranosidyl acid, such as glucuronic acid or galacturonic acid, an alpha-hydroxy acid, such as mandelic acid, citric acid, or tartaric acid, an amino acid, such as aspartic acid or glutamic acid, an aromatic acid, such as benzoic acid, 2-acetoxybenzoic acid, naphthoic acid, or cinnamic acid, a sulfonic acid, such as laurylsulfonic acid, p-toluenesulfonic acid, methanesulfonic acid, ethanesulfonic acid, any compatible mixture of acids such as those given as examples herein, and any other acid and mixture thereof that are regarded as equivalents.

Compounds of Formula (I) may contain a carboxylic acid moiety, a desired pharmaceutically acceptable salt may be prepared by any suitable method, for example, treatment of the free acid with an inorganic or organic base, such as an amine (primary, secondary or tertiary), an alkali metal hydroxide, alkaline earth metal hydroxide, any compatible mixture of bases such as those given as examples herein, and any other base and mixture thereof that are regarded as equivalents or acceptable substitutes in light of the ordinary level of skill in this technology. Illustrative examples of suitable salts include organic salts derived from amino acids, such as glycine and arginine, ammonia, carbonates, bicarbonates, primary, secondary, and tertiary amines, and cyclic amines, such as benzylamines, pyrrolidines, piperidine, morpholine, piperazine, N-methyl-glucamine and tromethamine and inorganic salts derived from sodium, calcium, potassium, magnesium, manganese, iron, copper, zinc, aluminum, and lithium.

The compounds of the invention, including their pharmaceutically acceptable salts, whether alone or in combination, (collectively, “active agent” or “active agents”) of the present invention are useful as MGL-modulators in the methods of the invention. Such methods for modulating MGL comprise the use of a therapeutically effective amount of at least one chemical entity of the invention.

In some embodiments, the MGL modulator is an inhibitor and is used in a subject diagnosed with or suffering from a disease, disorder, or condition associated with MGL receptor activity, such as those described herein. Symptoms or disease states are intended to be included within the scope of “disease, disorders or conditions.”

Accordingly, the invention relates to methods of using the active agents described herein to treat subjects diagnosed with or suffering from a disease, disorder, or condition associated with the MGL receptor activity. The term “treat” or “treating” as used herein is intended to refer to administration of an active agent or composition of the invention to a subject for the purpose of effecting a therapeutic or prophylactic benefit through modulation of MGL receptor activity. Treating includes reversing, ameliorating, alleviating, inhibiting the progress of, lessening the severity of, or preventing a disease, disorder, or condition, or one or more symptoms of such disease, disorder or condition associated with the MGL modulation. The term “subject” refers to a mammalian patient in need of such treatment, such as a human.

The term “composition” refers to a product that includes the specified ingredients in therapeutically effective amounts, as well as any product that results, directly, or indirectly, from combinations of the specified ingredients in the specified amounts.

The term “MGL inhibitor” is intended to encompass a compound that interacts with MGL to substantially reduce or eliminate its catalytic activity, thereby increasing the concentrations of its substrate(s). The term “MGL-modulated” is used to refer to the condition of being affected by the modulation of the MGL enzyme including the condition of being affected by the inhibition of the MGL enzyme. The disclosure is directed to methods for treating, ameliorating and/or preventing diseases, conditions, or disorders associated with pain (including inflammatory pain), and also psychiatric disorders, neurological disorders, cancers, and eye conditions by the administration of therapeutically effective amounts of MGL modulators to subjects in need thereof.

The term “modulators” include both inhibitors and activators, where “inhibitors” refer to compounds that decrease, prevent, inactivate, desensitize, or down-regulate the MGL expression or activity, and “activators” are compounds that increase, activate, facilitate, sensitize, or up-regulate MGL expression or activity.

As used herein, unless otherwise noted, the term “affect” or “affected” (when referring to a disease, condition or disorder that is affected by inhibition of MGL) includes a reduction in the frequency and/or severity of one or more symptoms or manifestations of said disease, condition or disorder; and/or include the prevention of the development of one or more symptoms or manifestations of said disease, condition or disorder or the development of the disease, condition or disorder.

In treatment methods according to the invention, a therapeutically effective amount of at least one active agent according to the invention is administered to a subject suffering from or diagnosed as having such a disease, disorder, or condition. A “therapeutically effective amount” means an amount or dose sufficient to generally bring about the desired therapeutic or prophylactic benefit in subjects in need of such treatment for the designated disease, disorder, or condition. Effective amounts or doses of the active agents of the present invention may be ascertained by routine methods such as modeling, dose escalation studies or clinical trials, and by taking into consideration routine factors, e.g., the mode or route of administration or drug delivery, the pharmacokinetics of the agent, the severity and course of the disease, disorder, or condition, the subject's previous or ongoing therapy, the subject's health status and response to drugs, and the judgment of the treating physician. For a 70-kg human, an illustrative range for a suitable dosage amount is from about 1 to 1000 mg/day in single or multiple dosage units (e.g., BID, TID, QID or as required by modality).

Once improvement of the subject's disease, disorder, or condition has occurred, the dose may be adjusted for preventive or maintenance treatment. For example, the dosage or the frequency of administration, or both, may be reduced as a function of the symptoms, to a level at which the desired therapeutic or prophylactic effect is maintained. Of course, if symptoms have been alleviated to an appropriate level, treatment may cease. Subjects may, however, require intermittent treatment on a long-term basis upon any recurrence of symptoms.

In addition, the compounds of the invention are envisaged for use alone, in combination with one or more of other compounds of this invention, or in combination with additional active ingredients in the treatment of the conditions discussed below. The additional active ingredients may be co-administered separately with at least one compound of the invention, with active agents of the invention or included with such an agent in a pharmaceutical composition according to the invention. In an illustrative embodiment, additional active ingredients are those that are known or discovered to be effective in the treatment of conditions, disorders, or diseases associated with the MGL modulation, such as another MGL inhibitor or a compound active against another target associated with the particular condition, disorder, or disease. The combination may serve to increase efficacy (e.g., by including in the combination a compound potentiating the potency or effectiveness of an agent according to the invention), decrease one or more side effects, or decrease the required dose of the active agent according to the invention.

When referring to inhibiting the target, an “effective amount” means an amount sufficient to affect MGL modulation.

The active agents of the invention are envisaged for use, alone or in combination with one or more additional active ingredients, to formulate pharmaceutical compositions of the invention. A pharmaceutical composition of the invention comprises a therapeutically effective amount of at least one active agent in accordance with the invention.

Pharmaceutically acceptable excipients commonly used in pharmaceutical compositions are substances that are non-toxic, biologically tolerable, and otherwise biologically suitable for administration to a subject, such as an inert substance, added to a pharmacological composition or otherwise used as a vehicle, carrier, or diluent to facilitate administration of an agent and that is compatible therewith. Examples of such excipients include calcium carbonate, calcium phosphate, various sugars and types of starch, cellulose derivatives, gelatin, vegetable oils, and polyethylene glycols.

Delivery forms of the pharmaceutical compositions containing one or more dosage units of the active agents may be prepared using pharmaceutically acceptable excipients and compounding techniques known or that become available to those of ordinary skill in the art.

The compositions may be administered in the inventive methods by a suitable route of delivery, e.g., oral, parenteral, rectal, topical, or ocular routes, or by inhalation.

The preparation may be in the form of tablets, capsules, sachets, dragees, powders, granules, lozenges, powders for reconstitution, liquid preparations, or suppositories. The compositions may be formulated for any one of a plurality of administration routes, such as intravenous infusion, topical administration, or oral administration. Preferably, the compositions may be formulated for oral administration.

For oral administration, the active agents of the invention can be provided in the form of tablets or capsules, or as a solution, emulsion, or suspension. To prepare the oral compositions, the active agents may be formulated to yield a dosage of, e.g., for a 70-kg human, an illustrative range for a suitable dosage amount is from about 1 to 1000 mg/day in single or multiple dosage units.

Oral tablets may include the active ingredient(s) mixed with compatible pharmaceutically acceptable excipients such as diluents, disintegrating agents, binding agents, lubricating agents, sweetening agents, flavoring agents, coloring agents and preservative agents. Suitable inert fillers include sodium and calcium carbonate, sodium and calcium phosphate, lactose, starch, sugar, glucose, methyl cellulose, magnesium stearate, mannitol, sorbitol, and the like. Exemplary liquid oral excipients include ethanol, glycerol, water, and the like. Starch, polyvinyl-pyrrolidone (PVP), sodium starch glycolate, microcrystalline cellulose, and alginic acid are exemplary disintegrating agents. Binding agents may include starch and gelatin. The lubricating agent if present, may be magnesium stearate, stearic acid, or talc. If desired, the tablets may be coated with a material such as glyceryl monostearate or glyceryl distearate to delay absorption in the gastrointestinal tract or may be coated with an enteric coating.

Capsules for oral administration include hard and soft gelatin or (hydroxypropyl)methyl cellulose capsules. To prepare hard gelatin capsules, active ingredient(s) may be mixed with a solid, semi-solid, or liquid diluent. Liquids for oral administration may be in the form of suspensions, solutions, emulsions, or syrups or may be lyophilized or presented as a dry product for reconstitution with water or other suitable vehicle before use. Such liquid compositions may optionally contain: pharmaceutically-acceptable excipients such as suspending agents (for example, sorbitol, methyl cellulose, sodium alginate, gelatin, hydroxyethyl cellulose, carboxymethylcellulose, aluminum stearate gel and the like); non-aqueous vehicles, e.g., oil (for example, almond oil or fractionated coconut oil), propylene glycol, ethyl alcohol, or water; preservatives (for example, methyl or propyl p-hydroxybenzoate or sorbic acid); wetting agents such as lecithin; and, if desired, flavoring or coloring agents.

The active agents of this invention may also be administered by non-oral routes. For example, compositions may be formulated for rectal administration as a suppository, enema, or foam. For parenteral use, including intravenous, intramuscular, intraperitoneal, or subcutaneous routes, the agents of the invention may be provided in sterile aqueous solutions or suspensions, buffered to an appropriate pH and isotonicity or in parenterally acceptable oil. Suitable aqueous vehicles include Ringer's solution and isotonic sodium chloride. Such forms may be presented in unit-dose form such as ampules or disposable injection devices, in multi-dose forms such as vials from which the appropriate dose may be withdrawn, or in a solid form or pre-concentrate that can be used to prepare an injectable formulation. Illustrative infusion doses range from about 1 to 1000 μg/kg/minute of agent admixed with a pharmaceutical carrier over a period ranging from several minutes to several days.

For topical administration, the agents may be mixed with a pharmaceutical carrier at a concentration of about 0.01% to about 20% of drug to vehicle, preferably 0.1% to 10%. Another mode of administering the agents of the invention may utilize a patch formulation to affect transdermal delivery.

Active agents may alternatively be administered in methods of this invention by inhalation, via the nasal or oral routes, e.g., in a spray formulation also containing a suitable carrier.

In a further embodiment, the invention is directed to a method of treating a subject suffering from or diagnosed with a disease, disorder, or condition associated with MGL modulation, comprising administering to the subject in need of such treatment a therapeutically effective amount of the active agent.

The compounds of Formula (I) are useful in methods for treating, ameliorating and/or preventing a disease, a condition or a disorder that is affected by the inhibition of MGL. Such methods comprise administering to a subject, including an animal, a mammal, and a human in need of such treatment, amelioration and/or prevention, a therapeutically effective amount of a compound of Formula (I), or an enantiomer, diastereomer, solvate or pharmaceutically acceptable salt thereof.

In particular, the compounds of Formula (I), or pharmaceutically acceptable salts, isotopes, N-oxides, solvates and stereoisomers thereof, are useful for treating, ameliorating and/or preventing diseases, conditions, or disorders causing pain, psychiatric disorders, neurological disorders, cancers, and eyes conditions. More particularly, the compounds of Formula (I), or pharmaceutically acceptable salts, isotopes, N-oxides, solvates and stereoisomers thereof, are useful for treating, ameliorating and/or preventing inflammatory pain, major depressive disorder, treatment resistant depression, anxious depression or bipolar disorder by administering to a subject in need thereof a therapeutically effective amount of a compound of Formula (I), or a pharmaceutically acceptable salt, isotope, N-oxide, solvate or stereoisomer thereof as herein defined.

1) Pain

Examples of inflammatory pain include, but are not limited to, pain due to a disease, condition, disorder, or a pain state including inflammatory bowel disease, visceral pain, migraine, post-operative pain, osteoarthritis, rheumatoid arthritis, back pain, lower back pain, joint pain, abdominal pain, chest pain, labor, musculoskeletal diseases, skin diseases, toothache, pyresis, burn, sunburn, snake bite, venomous snake bite, spider bite, insect sting, neurogenic bladder, interstitial cystitis, urinary tract infection, rhinitis, contact dermatitis/hypersensitivity, itch, eczema, pharyngitis, mucositis, enteritis, irritable bowel syndrome, cholecystitis, pancreatitis, postmastectomy pain syndrome, menstrual pain, endometriosis, pain due to physical trauma, headache, sinus headache, tension headache, or arachnoiditis.

One type of inflammatory pain is inflammatory hyperalgesia/hypersensitivity. Examples of inflammatory hyperalgesia include a disease, condition, disorder, or pain state including inflammation, osteoarthritis, rheumatoid arthritis, back pain, joint pain, abdominal pain, musculoskeletal diseases, skin diseases, post-operative pain, headaches, toothache, burn, sunburn, insect sting, neurogenic bladder, urinary incontinence, interstitial cystitis, urinary tract infection, cough, asthma, chronic obstructive pulmonary disease, rhinitis, contact dermatitis/hypersensitivity and/or dermal allergy, itch, eczema, pharyngitis, enteritis, irritable bowel syndrome, inflammatory bowel diseases including Crohn's Disease, ulcerative colitis, benign prostatic hypertrophy, and nasal hypersensitivity.

In an embodiment, the present invention is directed to a method for treating, ameliorating and/or preventing inflammatory visceral hyperalgesia in which an enhanced visceral irritability exists, comprising, consisting of, and/or consisting essentially of the step of administering to a subject in need of such treatment a therapeutically effective amount of a compound of Formula (I) or a pharmaceutically acceptable salt, isotope, N-oxide, solvate or stereoisomer thereof. In a further embodiment, the present invention is directed to a method for treating inflammatory somatic hyperalgesia in which a hypersensitivity to thermal, mechanical and/or chemical stimuli exists, comprising administering to a subject in need of such treatment a therapeutically effective amount of a compound of Formula (I), or a pharmaceutically acceptable salt, isotope, N-oxide, solvate or stereoisomer thereof.

A further embodiment of the present invention is directed to a method for treating, ameliorating and/or preventing neuropathic pain. Examples of a neuropathic pain include pain due to a disease, condition, disorder, or pain state including cancer, neurological disorders, spine and peripheral nerve surgery, brain tumor, traumatic brain injury (TBI), spinal cord trauma, chronic pain syndrome, fibromyalgia, chronic fatigue syndrome, lupus, sarcoidosis, peripheral neuropathy, bilateral peripheral neuropathy, diabetic neuropathy, central pain, neuropathies associated with spinal cord injury, stroke, amyotrophic lateral sclerosis (ALS), Parkinson's disease, multiple sclerosis, sciatic neuritis, mandibular joint neuralgia, peripheral neuritis, polyneuritis, stump pain, phantom limb pain, bony fractures, oral neuropathic pain, Charcot's pain, complex regional pain syndrome I and II (CRPS I/II), radiculopathy, Guillain-Barre syndrome, meralgia paresthetica, burning-mouth syndrome, optic neuritis, postfebrile neuritis, migrating neuritis, segmental neuritis, Gombault's neuritis, neuronitis, cervicobrachial neuralgia, cranial neuralgia, geniculate neuralgia, glossopharyngeal neuralgia, migrainous neuralgia, idiopathic neuralgia, intercostals neuralgia, mammary neuralgia, Morton's neuralgia, nasociliary neuralgia, occipital neuralgia, postherpetic neuralgia, causalgia, red neuralgia, Sluder's neuralgia, splenopalatine neuralgia, supraorbital neuralgia, trigeminal neuralgia, vulvodynia, vidian neuralgia or chemotherapy-induced neuropathy.

One type of neuropathic pain is neuropathic cold allodynia, which can be characterized by the presence of a neuropathy-associated allodynic state in which a hypersensitivity to cooling stimuli exists. Examples of neuropathic cold allodynia include allodynia due to a disease, condition, disorder or pain state including neuropathic pain (neuralgia), pain arising from spine and peripheral nerve surgery or trauma, traumatic brain injury (TBI), trigeminal neuralgia, postherpetic neuralgia, causalgia, peripheral neuropathy, diabetic neuropathy, central pain, stroke, peripheral neuritis, polyneuritis, complex regional pain syndrome I and II (CRPS I/II) and radiculopathy.

In a further embodiment, the present invention is directed to a method for treating, ameliorating and/or preventing neuropathic cold allodynia in which a hypersensitivity to a cooling stimuli exists, comprising administering to a subject in need of such treatment a therapeutically effective amount of a compound of Formula (I) or a pharmaceutically acceptable salt, isotope, N-oxide, solvate or stereoisomer thereof.

2) Psychiatric Disorders

Examples of psychiatric disorders include, but are not limited to, anxieties such as, social anxiety, post-traumatic stress disorder, phobias, social phobia, special phobias, panic disorder, obsessive-compulsive disorder, acute stress disorder, separation anxiety disorder, and generalized anxiety disorder, as well as depression such as, major depression, bipolar disorder, seasonal affective disorder, post-natal depression, manic depression, and bipolar depression, mood disorders and mood affective disorders that can be treated according to the present invention include, but are not limited to, bipolar disorder I depressed, hypomanic, manic and mixed form; bipolar disorder II; depressive disorders, such as single depressive episode or recurrent major depressive disorder, minor depressive disorder, treatment-resistant depression, anxious depression, bipolar disorder, depressive disorder with postpartum onset, depressive disorders with psychotic symptoms; persistent mood disorders, such as cyclothymia, dysthymia, euthymia; premenstrual dysphoric disorder; psychoses; and developmental disorders such as autism spectrum disorders, and Asperger syndrome.

3) Neurological Disorders

Examples of neurological disorder include, but are not limited to, tremors, dyskinesias, dystonias, spasticity, Tourette's Syndrome; neuromyelitis optica, Parkinson's disease; Alzheimer's disease; senile dementia; Huntington's disease; Epilepsy/seizure disorders and sleep disorders.

4) Cancers

Examples of cancers include, but are not limited to, benign skin tumors, prostate tumors, ovarian tumors and cerebral tumors (glioblastomas, medulloepitheliomas, medulloblastomas, neuroblastomas, tumors of embryonic origin, astrocytomas, astroblastomas, ependymomas, oligodendrogliomas, neuroepitheliomas, epiphyseal tumor, ependymoblastomas, malignant meningiomas, sarcomatosis, malignant melanomas, schwannomas).

5) Eye Conditions

Examples of eye conditions include, but are not limited to, ocular hypertension, glaucoma, degeneration, and apoptosis of retinal ganglion cells and neuroretinal cells.

Other embodiments of this invention provide for a method for modulating MGL receptor activity, including when such receptor is in a subject, comprising exposing MGL receptor to a therapeutically effective amount of at least one compound selected from compounds of the invention.

In some embodiments of Formula (I), X is CH₂. In some embodiments, X is O.

In some embodiments, R^(2a) and R^(2b) are each H. In some embodiments, R^(2a) and R^(2b) are each CH₃. In some embodiments, R^(2a) is H and R^(2b) is CH₃.

In some embodiments, R³ is phenyl; or phenyl substituted with one, two or three members each independently selected from: Cl, F, C₁₋₆alkyl, C₁₋₆haloalkyl, C(CH₃)₂OH, OC₁₋₆alkyl, OC₁₋₆haloalkyl, SCH₃, Si(CH₃)₃, SF₅, N(CH₃)₂, C₃₋₆cycloalkyl, C₃₋₆cycloalkyl substituted with CH₃, OC₃₋₆cycloalkyl, phenyl, O-phenyl, and O-pyridyl.

In some embodiments, R³ is phenyl substituted with one, two or three members each independently selected from: halo, C₁₋₆alkyl, C₁₋₆haloalkyl, OC₁₋₆alkyl, OC₁₋₆haloalkyl, SCH₃, SF₅, or Si(CH₃)₃.

In some embodiments, R³ is

In some embodiments, R³ is 4-trifluoromethylphenyl, 3-trifluoromethoxyphenyl, 3-tert-butylphenyl, 4-tert-butylphenyl, or 3-(1-methylcyclopropyl)phenyl.

In some embodiments, R³ is benzyl; tert-butyl; cyclohexyl; phenyl substituted with 1-methylcyclopropyl or 1-trifluoromethylcyclopropyl, or fused with a cyclobutenyl or cyclohexenyl ring; pyridyl optionally substituted with trifluoromethyl, fluoro, or methyl; pyrimidinyl optionally substituted with tert-butyl; or oxazolyl optionally substituted with tert-butyl. In some embodiments, R³ is a bicyclic heteroaryl, optionally substituted as described herein. In some embodiments, R³ is phenyl, optionally substituted as described herein.

In some embodiments, R⁴ is H, F, CH₃ or CH₂CH₃. In some embodiments, R⁴ is H.

In some embodiments, R^(5a) and R^(5b) are each H. In some embodiments, R^(5a) is CH₃ and R^(5b) is H. In some embodiments, R^(5a) is H and R^(5b) is CH₃.

In some embodiments of Formula (I),

In some embodiments of Formula (I), is

In some embodiments of Formula (I),

In some embodiments of Formula (I),

In some embodiments of Formula (I),

A further embodiment of the current invention is a compound as shown below in Table 1.

TABLE 1 Ex # Compound Name 1 (2s,4s)-2-(4-(3-(2,2,2-Trifluoroethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 2 (2s,4s)-2-(4-(3-Fluoro-5-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 3 (2s,4s)-2-(4-(2-Fluoro-5-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 4 (2s,4s)-2-(4-(2-Methyl-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 5 (2s,4s)-2-(4-(4-(Difluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 6 (2s,4s)-2-(4-(3-(Trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 7 (2s,4s)-2-(4-(2-Methyl-4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 8 (2s,4s)-2-(4-(3-Methyl-4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 9 (2s,4s)-2-(4-(4-Cyclopropylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 10 (2s,4s)-2-(4-(3-Methyl-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 11 (2s,4s)-2-(4-(4-Isopropylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 12 (2s,4s)-2-(4-(4-(Difluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 13 (2s,4s)-2-(4-(4-Methyl-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 14 (2s,4s)-2-(4-(3-(tert-Butyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 15 (2s,4s)-2-(4-(3-Isopropylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 16 (2r,4s)-2-(4-(4-Methyl-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-5- azaspiro[3.4]octan-6-one; 17 (2r,4s)-2-(4-(4-Cyclopropylphenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6- one; 18 (2r,4s)-2-(4-(3-Methyl-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-5- azaspiro[3.4]octan-6-one; 19 (2s,4s)-2-(4-(2-Fluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 20 (2s,4s)-2-(4-(4-(2,2,2-Trifluoroethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 21 (2s,4s)-2-(4-(3-Fluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 22 (2r,4s)-2-(4-(3-(tert-Butyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6- one; 23 (2s,4s)-2-(4-(3-Cyclopropylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 24 (2s,4s)-2-(4-(2,2-Difluorobenzo[d][1,3]dioxol-5-yl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 25 (2s,4s)-2-(4-(4-Cyclobutylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 26 (2s,4s)-2-(4-(3-(1,1-Difluoroethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 27 (2s,4s)-2-(4-(4-(1-Methylcyclopropyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 28 (2s,4s)-2-(4-(4-(1,1-Difluoroethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 29 (2s,4s)-2-(4-(3-Fluoro-5-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 30 (2s,4s)-2-(4-(2,3-Difluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 31 (2s,4s)-2-(4-(2,5-Difluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 32 (2r,4s)-2-(4-(4-Isopropylphenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6- one; 33 (2s,4s)-2-(4-(2-Fluoro-5-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 34 (2s,4s)-2-(4-(3,4-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 35 (2s,4s)-2-(4-(2,3-Dihydro-1H-inden-5-yl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 36 (2s,4s)-2-(4-(3-Chloro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 37 (2s,4s)-2-(4-(2-Fluoro-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 38 (2s,4s)-2-(4-(3-Isopropoxyphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 39 (2r,4s)-2-(4-(4-(1-Methylcyclopropyl)phenyl)piperidine-1-carbonyl)-5- azaspiro[3.4]octan-6-one; 40 (2s,4s)-2-(4-(3-(1-Methylcyclopropyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 41 (2r,4s)-2-(4-(3-(1-Methylcyclopropyl)phenyl)piperidine-1-carbonyl)-5- azaspiro[3.4]octan-6-one; 42 (2s,4s)-2-(4-(1H-Inden-5-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6- one; 43 (2s,4s)-2-(4-(2,3-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 44 (2s,4s)-2-(4-(4-Fluoro-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 45 (2s,4s)-2-(4-(6-(tert-Butyl)pyridin-3-yl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 46 (2s,4s)-2-(4-(2-Chlorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan- 6-one; 47 (2s,4s)-2-(4-(2,4-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 48 (2s,4s)-2-(4-(4-Phenoxyphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 49 (2s,4s)-2-(4-(3-Methoxy-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 50 (2s,4s)-2-(4-(2-Cyclopropylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 51 (2r,4s)-2-(4-(4-Phenoxyphenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; 52 (2s,4s)-2-(4-(2-Methyl-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 53 (2s,4s)-2-(4-(3-Phenoxyphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 54 (2s,4s)-2-(4-(4-Chloro-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 55 (2s,4s)-2-(4-(2-Methoxy-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 56 (2s,4s)-2-(4-(2-(Trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 57 (2s,4s)-2-(4-([1,1′-Biphenyl]-3-yl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 58 (2s,4s)-2-(4-(4-Methoxy-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 59 (2s,4s)-2-(4-(4-(Pyridin-2-yloxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 60 (2s,4s)-2-(4-(4-Chloro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 61 (2s,4s)-2-(4-(4-Fluoro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 62 (2s,4s)-2-(4-(2-Chloro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 63 (2s,4s)-2-(4-(2-Methyl-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 64 (2r,4s)-2-(4-(3-Methyl-4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-5- azaspiro[3.4]octan-6-one; 65 (2s,4s)-2-(4-(4-Cyclopropyl-2-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 66 (2s,4s)-2-(4-(3-(tert-Butyl)-4-chlorophenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 67 (2s,4s)-2-(4-(3-(Difluoromethoxy)-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 68 (2s,4s)-2-(4-(3-(tert-Butyl)-4-fluorophenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 69 (2r,4s)-2-(4-(2-Methyl-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-5- azaspiro[3.4]octan-6-one; 70 (2s,4s)-2-(4-(3-Methyl-5-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 71 (2s,4s)-2-(4-(4-(Difluoromethoxy)-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 72 (2s,4s)-2-(4-(2-Methyl-5-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 73 (2r,4s)-2-(4-(3-(tert-Butyl)-4-chlorophenyl)piperidine-1-carbonyl)-5- azaspiro[3.4]octan-6-one; 74 (2r,4s)-2-(4-(2-Chloro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-5- azaspiro[3.4]octan-6-one; 75 (2s,4s)-2-(4-(4-Cyclopropoxyphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 76 (2s,4s)-2-(4-(2-Fluoro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 77 (2s,4s)-2-(4-(3-(Pentafluoro-λ6-sulfaneyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 78 (2s,4s)-2-(4-(4-(Pentafluoro-λ6-sulfaneyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 79 (2r,4s)-2-(4-(3-(tert-Butyl)-4-fluorophenyl)piperidine-1-carbonyl)-5- azaspiro[3.4]octan-6-one; 80 (2s,4s)-2-(4-(4-Isobutylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan- 6-one; 81 (racemic)- (2s,4s)-8-Methyl-2-(4-(4-(1-methylcyclopropyl)phenyl)piperidine-1-carbonyl)- 7-oxa-5-azaspiro[3.4]octan-6-one; 82 (2s,4s)-2-(4-(3-(2-Hydroxypropan-2-yl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 83 (2s,4s)-2-(4-(3-Isobutylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan- 6-one; 84 (2s,4s)-2-(4-(4-(2-Hydroxypropan-2-yl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 85 (2s,4s)-2-(4-(3,5-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 86 (2s,4s)-2-(4-(2,4-Difluoro-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 87 (2s,4s)-2-(4-(4-(Trimethylsilyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 88 (2s,4s)-2-(4-(4-Fluoro-2,3-dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 89 (2s,4s)-2-(4-(2,5-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 90 (2s,4s)-2-(4-(3-Ethyl-4-fluorophenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 91 (2s,4s)-2-(4-(3,5-Difluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 92 (2S*,4s,8R*)-8-Methyl-2-(4-(4-(1-methylcyclopropyl)phenyl)piperidine-1-carbonyl)- 7-oxa-5-azaspiro[3.4]octan-6-one; 93 (2R*,4s,8S*)-8-Methyl-2-(4-(4-(1-methylcyclopropyl)phenyl)piperidine-1-carbonyl)- 7-oxa-5-azaspiro[3.4]octan-6-one; 94 (2s,4s)-2-(4-(3-(Trimethylsilyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 95 (2r,4s)-2-(4-(4-(Trimethylsilyl)phenyl)piperidine-1-carbonyl)-5- azaspiro[3.4]octan-6-one; 96 (2r,4s)-2-(4-(3-Isobutylphenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; 97 (2s,4s)-2-(4-(4-(tert-Butyl)-3-methoxyphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 98 (2s,4s)-2-(4-(4-Methoxy-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 99 (racemic)-(2s,4s)-2-(4-(4-(sec-Butyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 100 (racemic)-(2r,4s)-2-(4-(4-(sec-Butyl)phenyl)piperidine-1-carbonyl)-5- azaspiro[3.4]octan-6-one; 101 (2s,4s)-2-(4-(1H-Pyrrolo[2,3-b]pyridin-2-yl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 102 (2s,4s)-2-[4-(6-Fluorobenzofuran-3-yl)piperidine-1-carbonyl]-6-oxa-8- azaspiro[3.4]octan-7-one; 103 (2s,4s)-2-(4-(4-(Trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 104 (2s,4s)-2-(4-(Benzofuran-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan- 6-one; 105 (2s,4s)-2-(4-(Naphthalen-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan- 6-one; 106 (2s,4s)-2-(4-(1H-Indol-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6- one; 107 (2s,4s)-2-(4-(4-(Trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 108 (2s,4s)-2-(4-(4-(Methylthio)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 109 (2s,4s)-2-(4-(4-(Dimethylamino)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 110 (2s,4s)-2-(4-(5-Chlorobenzofuran-2-yl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 111 (2s,4s)-2-(4-Phenylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 112 (2s,4s)-2-(4-(p-Tolyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 113 (2s,4s)-2-(4-(Naphthalen-1-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan- 6-one; 114 (2s,4s)-2-(4-(4-Fluorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan- 6-one; 115 (2s,4s)-2-(4-(3-Chlorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan- 6-one; 116 (2s,4s)-2-(4-(o-Tolyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 117 (2s,4s)-2-(4-(4-Ethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6- one; 118 (2s,4s)-2-(4-(3-(Trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 119 (2s,4s)-2-(4-(2-Fluorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan- 6-one; 120 (2s,4s)-2-(4-(3-Fluorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan- 6-one; 121 (2s,4s)-2-(4-(4-Chlorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan- 6-one; 122 (2s,4s)-2-(4-(m-Tolyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 123 (2s,4s)-2-(4-(4-Methoxyphenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 124 (2s,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 125 (2r,4s)-2-(4-(4-(Trifluoromethyl)phenyl)piperidine-1-carbonyl)-5- azaspiro[3.4]octan-6-one; 126 (2r,4s)-2-(4-(5-Chlorobenzofuran-2-yl)piperidine-1-carbonyl)-5- azaspiro[3.4]octan-6-one; 127 (2r,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6- one; 128 (2s,4s)-2-(4-Methyl-4-phenylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6- one; 129 (2s,4s)-2-(4-(6-Chlorobenzo[d]isoxazol-3-yl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 130 (2s,4s)-2-(4-(3-(4-Chlorophenyl)-1,2,4-oxadiazol-5-yl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 131 (racemic)-(2s,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-8-methyl-7-oxa-5- azaspiro[3.4]octan-6-one; 132 (2S*,4s,8R*)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-8-methyl-7-oxa-5- azaspiro[3.4]octan-6-one; 133 (2R*,4s,8S*)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-8-methyl-7-oxa-5- azaspiro[3.4]octan-6-one; 134 (2s,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-8,8-dimethyl-7-oxa-5- azaspiro[3.4]octan-6-one; 135 (2s,4s)-2-(4-(4-Chlorophenyl)-4-methylpiperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 136 (2s,4s)-2-(4-(Benzo[d]thiazol-2-yl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 137 (2s,4s)-2-(4-Methyl-4-(p-tolyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan- 6-one; 138 (2s,4s)-2-(4-Fluoro-4-phenylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6- one; 139 (2s,4s)-2-(4-(4-Methyl-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 140 (2s,4s)-2-(4-(4-Chlorophenyl)-4-ethylpiperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 141 (racemic)-(2s,4S)-2-((3R,4R)-4-(4-(tert-Butyl)phenyl)-3-methylpiperidine-1-carbonyl)- 7-oxa-5-azaspiro[3.4] octan-6-one; 142 (2s,4S*)-2-((3R*,4R*)-4-(4-(tert-Butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 143 (2s,4R*)-2-((3S*,4S*)-4-(4-(tert-Butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 144 (racemic)-(2r,4S)-2-((3R,4R)-4-(4-(tert-Butyl)phenyl)-3-methylpiperidine-1-carbonyl)- 5-azaspiro[3.4]octan-6-one; 145 (racemic)-(2s,4s)-2-(4-(4-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 146 (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 7-oxa-5-azaspiro[3.4]octan-6-one; 147 (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-methyl-4-(trifluoromethoxy)phenyl)piperidine-1- carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 148 (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)- 7-oxa-5-azaspiro[3.4] octan-6-one; 149 (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 7-oxa-5-azaspiro[3.4]octan-6-one; 150 (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-fluoro-4-(trifluoromethoxy)phenyl)piperidine-1- carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 151 (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)- 7-oxa-5-azaspiro[3.4]octan-6-one; 152 (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(4-methyl-3-(trifluoromethyl)phenyl)piperidine-1- carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 153 (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-methyl-4-(trifluoromethyl)phenyl)piperidine-1- carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 154 (racemic)-(2s,4S)-2-((3R,4R)-4-([1,1′-Biphenyl]-3-yl)-3 -methylpiperidine-1-carbonyl)- 7-oxa-5-azaspiro[3.4]octan-6-one; 155 (racemic)-(2r,4S)-2-((3R,4R)-4-([1,1′-Biphenyl]-3-yl)-3-methylpiperidine-1-carbonyl)- 5-azaspiro[3.4]octan-6-one; 156 (2s,4R*)-2-((2S*,4R*)-2-Methyl-4-(4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)- 7-oxa-5-azaspiro[3.4]octan-6-one; 157 (2s,4S*)-2-((2R*,4S*)-2-Methyl-4-(4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)- 7-oxa-5-azaspiro[3.4]octan-6-one; 158 (2s,4S*)-2-((2R*,4R*)-2-Methyl-4-(4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)- 7-oxa-5-azaspiro[3.4]octan-6-one; 159 (2s,4R*)-2-((2S*,4S*)-2-Methyl-4-(4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)- 7-oxa-5-azaspiro[3.4] octan-6-one; 160 (2s,4S*)-2-((3R*,4R*)-4-([1,r-Biphenyl]-3-yl)-3-methylpiperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 161 (2s,4R*)-2-((3S*,4S*)-4-([1,1′-Biphenyl]-3-yl)-3-methylpiperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 162 (racemic)-(25,47R)-2-((25,45)-4-(3-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)- 7-oxa-5-azaspiro[3.4]octan-6-one; 163 (2s,4R*)-2-((2S*,4R*)-4-(4-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 164 (2s,4S*)-2-((2R*,4R*)-4-(4-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 165 (2s,4S*)-2-((2R*,4S*)-4-(4-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 166 (2s,4R*)-2-((2S*,4S*)-4-(4-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 167 (2s,4R*)-2-((2S*,4R*)-4-(3-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 168 (2s,4S*)-2-((2R*,4S*)-4-(3-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; and 169 (2s,4s)-2-(4-(6-(tert-Butyl)pyridin-2-yl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; and pharmaceutically acceptable salts, isotopes, N-oxides, solvates, and stereoisomers thereof.

A further embodiment of the current invention is a compound selected from:

-   (2s,4s)-2-(4-(3-(Trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; -   (2s,4s)-2-(4-(3-Methyl-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; -   (2s,4s)-2-(4-(4-(Trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; -   (2r,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one;     and -   (2s,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one;     and pharmaceutically acceptable salts, isotopes, N-oxides, solvates,     and stereoisomers thereof.

An additional embodiment of the invention is a compound of Formula (I) having the Formula (IA):

-   -   wherein     -   R³ is selected from:         -   (a) phenyl substituted with one or two members each             independently selected from: halo, C₁₋₆alkyl, C₁₋₆haloalkyl,             OC₁₋₆haloalkyl, Si(CH₃)₃, C₃₋₆cycloalkyl, phenyl, O-phenyl,             and C₃₋₆cycloalkyl substituted with CH₃; and         -   (b)

and

-   -   R^(5b) is H or CH₃;     -   or a pharmaceutically acceptable salt, isotope, N-oxide,         solvate, or stereoisomer thereof.

An additional embodiment of the invention is a compound of Formula (I) having the Formula (IB):

-   -   wherein     -   R^(2a) and R^(2b) are each independently selected from H and         CH₃;     -   R³ is selected from:         -   (a) phenyl; phenyl substituted with one, two or three             members each independently selected from: Cl, F, C₁₋₆alkyl,             C₁₋₆haloalkyl, C(CH₃)₂OH, OC₁₋₆alkyl, OC₁₋₆haloalkyl, SCH₃,             SF₅, Si(CH₃)₃, N(CH₃)₂, cyclopropyl, cyclobutyl,             O-cyclopropyl, phenyl, O-phenyl, O-pyridyl and

-   -   -    and

    -   (b)

-   -   R⁴ is selected from: H, F, CH₃ and CH₂CH₃;     -   R^(5a) is H or CH₃; and     -   R^(5b) is H or CH₃;     -   or a pharmaceutically acceptable salt, isotope, N-oxide,         solvate, or stereoisomer thereof.

An additional embodiment of the invention is a compound of Formula (I) having the Formula (IC):

-   -   wherein     -   X is CH₂ or O; and     -   Ring A is selected from:

or a pharmaceutically acceptable salt, isotope, N-oxide, solvate, or stereoisomer thereof.

An additional embodiment of the invention is a compound of Formula (I) having the Formula (ID):

-   -   wherein     -   X is CH₂ or O;     -   R^(2a) and R^(2b) are each independently selected from H and         CH₃;     -   R^(b) is selected from: Cl, F, C₁₋₆alkyl, C₁₋₆haloalkyl,         C(CH₃)₂OH, OC₁₋₆alkyl, OC₁₋₆haloalkyl, SCH₃, SF₅, Si(CH₃)₃,         N(CH₃)₂, cyclopropyl, cyclobutyl, O-cyclopropyl, phenyl,         O-phenyl, O-pyridyl and

and

-   -   n is 0, 1, 2, or 3;     -   R is selected from: H, F, CH₃ and CH₂CH₃;     -   R^(5a) is H or CH₃; and     -   R^(5b) is H or CH₃;     -   or a pharmaceutically acceptable salt, isotope, N-oxide,         solvate, or stereoisomer thereof.

An additional embodiment of the invention is a pharmaceutical composition comprising:

-   -   (A) a therapeutically effective amount of at least one compound         of Formula (I) or a pharmaceutically acceptable salt, isotope,         N-oxide, solvate, or stereoisomer thereof, and     -   (B) at least one pharmaceutically acceptable excipient.

An additional embodiment of the invention is a pharmaceutical composition comprising a therapeutically effective amount of at least one compound selected from compounds in Table 1, and pharmaceutically acceptable salts, isotopes, N-oxides, solvates, and stereoisomers of thereof, pharmaceutically acceptable prodrugs of compounds of Table 1, and pharmaceutically active metabolites of compounds of Table 1; and at least one pharmaceutically acceptable excipient.

An additional embodiment of the invention is a pharmaceutical composition comprising a therapeutically effective amount of at least one compound selected from: compounds of Formula (IA), pharmaceutically acceptable salts, N-oxides or solvates of compounds of Formula (IA), pharmaceutically acceptable prodrugs of compounds of Formula (IA), and pharmaceutically active metabolites of Formula (IA); and at least one pharmaceutically acceptable excipient.

An additional embodiment of the invention is a pharmaceutical composition comprising a therapeutically effective amount of at least one compound selected from compounds of Formula (IB), and pharmaceutically acceptable salts, N-oxides or solvates of compounds of Formula (IB), pharmaceutically acceptable prodrugs of compounds of Formula (IB), and pharmaceutically active metabolites of Formula (IB); and at least one pharmaceutically acceptable excipient.

An additional embodiment of the invention is a pharmaceutical composition comprising a therapeutically effective amount of at least one compound selected from compounds of Formula (IC), and pharmaceutically acceptable salts, N-oxides or solvates of compounds of Formula (IC), pharmaceutically acceptable prodrugs of compounds of Formula (IC), and pharmaceutically active metabolites of Formula (IC); and at least one pharmaceutically acceptable excipient.

An additional embodiment of the invention is a pharmaceutical composition comprising a therapeutically effective amount of at least one compound selected from compounds of Formula (ID), and pharmaceutically acceptable salts, N-oxides or solvates of compounds of Formula (ID), pharmaceutically acceptable prodrugs of compounds of Formula (ID), and pharmaceutically active metabolites of Formula (ID); and at least one pharmaceutically acceptable excipient.

Also within the scope of the invention are enantiomers and diastereomers of the compounds of Formula (I) (as well as Formulas (IA), (IB), (IC), and (ID)). Also within the scope of the invention are the pharmaceutically acceptable salts, N-oxides or solvates (including combinations thereof) of the compounds of Formula (I) (as well as Formulas (IA), (IB), (IC), and (ID)). Also within the scope of the invention are the pharmaceutically acceptable prodrugs of compounds of Formula (I) (as well as Formulas (IA), (IB), (IC), and (ID)), and pharmaceutically active metabolites of the compounds of Formula (I) (as well as Formulas (IA), (IB), (IC), and (ID)).

Also within the scope of the invention are isotopic variations of compounds of Formula (I) (as well as Formulas (IA), (IB), (IC), and (ID)), such as, e.g., deuterated compounds of Formula (I). Also within the scope of the invention are the pharmaceutically acceptable salts, N-oxides or solvates (or combinations thereof) of the isotopic variations of the compounds of Formula (I) (as well as Formulas (IA), (IB), (IC), and (ID)). Also within the scope of the invention are the pharmaceutically acceptable prodrugs of the isotopic variations of the compounds of Formula (I) (as well as Formulas (IA), (IB), (IC), and (ID)), and pharmaceutically active metabolites of the isotopic variations of the compounds of Formula (I) (as well as Formulas (IA), (IB), (IC), and (ID)).

An additional embodiment of the invention is a method of treating a subject suffering from or diagnosed with a disease, disorder, or condition mediated by MGL receptor activity, comprising administering to a subject in need of such treatment a therapeutically effective amount of at least one compound selected from compounds of Formula (I) and pharmaceutically acceptable salts, isotopes, N-oxides, solvates, and stereoisomers thereof. Also described herein is the use of a compound of Formula (I) or a pharmaceutically acceptable salt, isotope, N-oxide, solvate, or stereoisomer thereof in the preparation of a medicament. In some embodiments, the medicament is for treatment of a disease, disorder, or condition mediated by MGL receptor activity. Also described herein is a compound of Formula (I), or a pharmaceutically acceptable salt, isotope, N-oxide, solvate, or stereoisomer thereof, for use in a method of treating a disease, disorder, or condition mediated by MGL receptor activity.

An additional embodiment of the invention is a method of treating a subject suffering from or diagnosed with a disease, disorder, or condition mediated by MGL receptor activity, comprising administering to a subject in need of such treatment a therapeutically effective amount of at least one compound selected from compounds of Formula (I) (as well as Formulas (IA), (IB), (IC), and (ID)), enantiomers and diastereomers of the compounds of Formula (I) (as well as Formulas (IA), (IB), (IC), and (ID)), isotopic variations of the compounds of Formula (I) (as well as Formulas (IA), (IB), (IC), and (ID)), and pharmaceutically acceptable salts of all of the foregoing. Also described herein is the use of a compound of Formula (IA), (IB), (IC), or (ID), or a pharmaceutically acceptable salt, isotope, N-oxide, solvate, or stereoisomer thereof in the preparation of a medicament. In some embodiments, the medicament is for treatment of a disease, disorder, or condition mediated by MGL receptor activity. Also described herein is a compound of Formula (IA), (IB), (IC), or (ID), or a pharmaceutically acceptable salt, isotope, N-oxide, solvate, or stereoisomer thereof, for use in a method of treating a disease, disorder, or condition mediated by MGL receptor activity.

Exemplary compounds useful in methods of the invention will now be described by reference to the illustrative synthetic schemes for their general preparation below and the specific examples that follow. Artisans will recognize that, to obtain the various compounds herein, starting materials may be suitably selected so that the ultimately desired substituents will be carried through the reaction scheme with or without protection as appropriate to yield the desired product. Alternatively, it may be necessary or desirable to employ, in the place of the ultimately desired substituent, a suitable group that may be carried through the reaction scheme and replaced as appropriate with the desired substituent. Unless otherwise specified, the variables are as defined above in reference to Formula (I). Reactions may be performed between the melting point and the reflux temperature of the solvent, and preferably between 0° C. and the reflux temperature of the solvent. Reactions may be heated employing conventional heating or microwave heating. Reactions may also be conducted in sealed pressure vessels above the normal reflux temperature of the solvent.

Abbreviations and acronyms used herein include the following:

TABLE 2 Term Acronym [4,4′-Bis(1,1-dimethylethyl)-2,2′-bipyridine-N1,N1′]bis[3,5- (Ir[dF(CF₃)ppy]₂(dtbpy))PF₆ difluoro-2-[5-(trifluoromethyl)-2-pyridinyl-N]phenyl- C]Iridium(III) hexafluorophosphate Microliter μL Acetonitrile ACN, MeCN Aqueous aq Atmosphere atm tert-Butoxycarbonyl BOC or Boc Benzotriazol-1-yloxy-tris(dimethylamino)phosphonium BOP hexafluorophosphate Broad br Cerium (III) chloride CeCl₃ Diatomaceous Earth Celite ® Nickel(II) chloride hexahydrate NiCl₂•6H₂O 1,8-Diazabicyclo[5.4.0]undec-7-ene DBU N,N′-Dicyclohexylcarbodiimide DCC Methylene chloride or Dichloromethane DCM Diisobutylaluminum hydride DIBAL-H N-Ethyldiisopropylamine DIPEA Dimethylacetamide DMA 4-(Dimethylamino)pyridine DMAP 1,2-Dimethoxyethane DME Dimethylformamide DMF Dess Martin periodinane DMP Dimethyl sulfoxide DMSO 1-Ethyl-3-(3-dimethylaminopropyl)carbodiimide EDC, EDAC or EDCI Enantiomeric excess ee Electrospray ionization ESI Diethyl ether Ether, Et₂O Ethyl Acetate EtOAc, or EA Ethanol EtOH Normal-phase silica gel chromatography FCC Grams g Hours h, hr, hrs 1-[Bis(dimethylamino)methylene]-1H-1,2,3-triazolo[4,5- HATU b]pyridinium 3-oxide hexafluorophosphate N,N,N′,N′-Tetramethyl-O-(1H-benzotriazol-1-yl)uronium HBTU hexafluorophosphate hydroxybenzotriazole HOBt High-pressure liquid chromatography HPLC Hertz Hz Isopropyl alcohol iPrOH, IPA Liquid chromatography and mass spectrometry LCMS Molar M Mass to charge ratio m/z Methanol MeOH Milligrams mg Minute min Milliliter mL Millimoles mmol Mass spectrometry MS Normal N Sodium hexamethyldisilazide NaHMDS Sodium acetate NaOAc n-Butyllithium n-BuLi Nickel(II) chloride ethylene glycol dimethyl ether complex NiCl₂(DME) N-Methyl-2-pyrrolidone NMP Nuclear magnetic resonance NMR Triflate OTf Pyridinium chlorochromate PCC Palladium on carbon Pd/C Bis(dibenzylideneacetone)palladium Pd(dba)₂ [1,1′-Bis(diphenylphosphino)ferrocene]dichloropalladium(II) Pd(dppf)Cl₂ Palladium (II) acetate Pd(OAc)₂ Palladium-tetrakis(triphenylphosphine) Pd(PPh₃)₄ Triphenylphosphine PPh₃ Parts per million ppm Precipitate ppt Polytetrafluoroethylene PTFE Bromotripyrrolidinophosphonium hexafluorophosphate PyBroP ® Reverse phase RP Retention time R_(t) Room temperature rt Dicyclohexyl(2′,6′-diisopropoxy-[1,1′-biphenyl]-2-yl)phosphine RuPhos 2-Dicyclohexylphosphino-2′,6′-diisopropoxy-1,1′-biphenyl)[2-(2′- RuPhos Pd G3 amino-1,1′-biphenyl)]palladium(II) methanesulfonate Saturated sat Supercritical Fluid Chromatography SFC Temperature T 2,4,6-Tripropyl-1,3,5,2,4,6-trioxatriphosphorinane-2,4,6-trioxide T3P ® Triethylamine TEA Triethylsilane TES Trifluoroacetic acid TFA Trifluoroacetic anhydride TFAA Tetrahydrofuran THF Thin layer chromatography TLC Volume in milliliters of solvent per gram of substrate V, or volumes 2-Dicyclohexylphosphino-2′,4′,6′-triisopropylbiphenyl XPhos

PREPARATIVE EXAMPLES

Exemplary compounds useful in methods of the invention will now be described by reference to the illustrative synthetic schemes for their general preparation below and the specific examples to follow.

According to SCHEME 1, a compound of formula (V), where R^(a) is C₁₋₄alkyl, is treated with hydroxylamine; using an additive such as sodium acetate (NaOAc), and the like; in a suitable solvent such as ethanol (EtOH), and the like; to provide a compound of formula (VI). A compound of formula (VII) is prepared from a compound of formula (VI) using an oxidant such as hydrogen peroxide, urea-hydrogen peroxide, and the like; in the presence of an activator such as trifluoroacetic anhydride (TFAA), and the like; in the presence of abase such as dibasic sodium phosphate, and the like; in a solvent such as acetonitrile (ACN), and the like.

According to SCHEME 2, compounds of formula (VIIIa) and (VIIIb) are prepared by reacting a compound of formula (VII) with formaldehyde in the presence of a base such as triethylamine (TEA), and the like; in a solvent such as ACN, and the like. A compound of formula (IX) is prepared by hydrogenolysis of a compound of formula (VIIIb) under an atmosphere of hydrogen gas (H₂) in the presence of a catalyst such as palladium on carbon (Pd/C), and the like; in a solvent such as ethyl acetate (EtOAc), EtOH, and the like. A compound of formula (X) is prepared by the reaction of a compound of formula (IX) with triphosgene in the presence of a base such as TEA, and the like; in a solvent such as tetrahydrofuran (THF), and the like. A compound of formula (XI), where X is O, is prepared by the acidic deprotection of a compound of formula (X) using an acid such as trifluoroacetic acid (TFA), HCl in dioxane, and the like.

According to SCHEME 3, compounds of formula (XIa) and formula (XIb) are prepared by a Michael-type reaction between a compound of formula (VII) and methyl acrylate; in the presence of a base such as 1,8-diazabicyclo[5.4.0]undec-7-ene (DBU), and the like; in a solvent such as ACN, and the like. Reductive ring closure of a compound of formula (XIa) using a reducing agent such as sodium borohydride (NaBH₄), and the like; an additive such as nickel(II) chloride hexahydrate, and the like; in a suitable solvent such as methanol (MeOH), and the like; provides a compound of formula (XI), where X is CH₂.

According to SCHEME 4, a compound of formula (XII) is prepared by reacting a compound of formula (VII), where R^(a) is C₁₋₄alkyl; with acetaldehyde in the presence of a base such as TEA, and the like; in a solvent such as ACN, and the like, at temperatures ranging from 0° C. to room temperature, for a period of 18 h. A compound of formula (XII) is subjected to hydrogenolysis; employing conditions previously described, to provide compounds of formula (XIIIa) and (XIIIb).

According to SCHEME 5, a compound of formula (XIIIa), where R^(a) is tert-butyl, is subjected to ring closure conditions with triphosgene, employing conditions previously described, to provide a compound of formula (XIV). A compound of formula (XIV) is subjected to acidic deprotection conditions previously described to provide a compound of formula (XV), where R^(2a) is H and R^(2b) is CH₃.

According to SCHEME 6, a compound of formula (XVI), is prepared in two steps from a compound of formula (XIIIa). In a first step, protection a compound of formula (XIIIa), where R^(a) is tert-butyl; is achieved by reaction with di-tert-butyl dicarbonate in the presence of a base such as TEA, and the like; in a solvent such as dichloromethane (DCM), and the like. In a second step, oxidation to a ketone compound of formula (XVI) is achieved employing conditions known to one skilled in the art, for example, DMP (Dess-Martin periodinane), SO₃-pyridine, Swern conditions [(COCl)₂, DMSO, Et₃N], PCC, and the like, in a solvent such as EtOAc, DMSO, DCM, and the like, at temperatures ranging from about −78° C. to room temperature (about 23° C.), to provide a compound of formula (XVI), where PG is BOC, and R^(a) is tert-butyl. In a preferred method, oxidation to a compound of formula (XVI) is achieved with Dess-Martin periodinane, in DCM, at 20° C. for 4 hours. A compound of formula (XVI) is reacted under conventional Grignard reaction conditions in the presence of an organo-magnesium halide such as methylmagnesium bromide, and the like; in in a suitable solvent such as Et₂O, THF, or a mixture thereof, at a temperature ranging from −40° C. to rt; to provide a compound of formula (XVII). Deprotection of the BOC protecting group is achieved according to methodologies known to one skilled in the art. For example, employing acidic conditions such as TFA/DCM, HCl/Dioxane, and the like to provide a compound of formula (XVIII). (2s,4s)-8,8-Dimethyl-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid is prepared in two steps from a compound of formula (XVIII). In a first step, ring closure is achieved employing conditions using triphosgene as previously described. Subsequent deprotection of the tert-butyl ester is achieved employing conditions previously described.

According to SCHEME 7, tert-butyl 4-(3-hydroxy-4-methylphenyl)piperidine-1-carboxylate is prepared from commercially available or synthetically accessible tert-butyl 4-bromopiperidine-1-carboxylate, using an appropriate commercially available or synthetically accessible bromobenzene such as 5-bromo-2-methylphenol; a catalyst such as nickel (II) chloride ethylene glycol dimethyl ether complex (NiCl₂ DME); a ligand such as 1,10-phenanthroline; additives sodium tetrafluoroborate (NaBF₄), manganese powder (Mn), and 4-ethylpyridine; in a solvent such as MeOH; at a temperature of about 60° C. for a period of 16-20 h. tert-Butyl 4-(3-(bromodifluoromethoxy)-4-methylphenyl)piperidine-1-carboxylate is prepared from tert-butyl 4-(3-hydroxy-4-methylphenyl)piperidine-1-carboxylate using dibromodifluoromethane (CBr₂F₂) with a suitable base such as sodium hydride (NaH) and potassium tert-butoxide (KOtBu), and the like; in a suitable solvent such as N,N-dimethylacetamide (DMA), and the like. 4-(4-Methyl-3-(trifluoromethoxy)phenyl)piperidine is prepared from tert-butyl 4-(3-(bromodifluoromethoxy)-4-methylphenyl)piperidine-1-carboxylate) using silver tetrafluoroborate (AgBF₄) in a solvent such as DCM, and the like; in a temperature range of −78° C. to rt over a period of 16 h.

According to SCHEME 8, tert-butyl 4-((2-aminopyridin-3-yl)ethynyl)piperidine-1-carboxylate is prepared via Sonogashira reaction of commercially available or synthetically accessible tert-butyl 4-ethynylpiperidine-1-carboxylate and 2-amino-3-bromopyridine; cuprous iodide; a catalyst such as bis(triphenylphosphine)palladium(II) dichloride, and the like; a base such as TEA, and the like; in a solvent such as N,N-dimethylformamide (DMF), and the like; at a temperature of about 100° C. for a period of 15 h. tert-Butyl 4-(1H-pyrrolo[2,3-b]pyridin-2-yl)piperidine-1-carboxylate is prepared from tert-butyl 4-((2-aminopyridin-3-yl)ethynyl)piperidine-1-carboxylate using an appropriate base such as KOtBu, and the like; in a suitable solvent such as N-methyl-2-pyrrolidone (NMP), and the like; at a temperature of about 70° C. over a period of 16 h.

According to SCHEME 9, cleavage of the BOC protecting group on tert-butyl 4-bromopiperidine-1-carboxylate is achieved according to methods previously described to give 4-bromopiperidine. A compound of formula (XIX), where R^(2a) and R^(2b) are H or CH₃, and X is CH₂ or O, is prepared by conventional amide bond forming techniques such as coupling reactions which are well known to those skilled in the art (such as HATU (1-[bis(dimethylamino)methylene]-1H-1,2,3-triazolo[4,5-b]pyridinium 3-oxid hexafluorophosphate), BOP (benzotriazol-1-yloxy-tris(dimethylamino)phosphonium hexafluorophosphate), or conversion of the acid to an acid chloride). For example, reaction of a 4-bromopiperidine with a synthetically accessible, suitably substituted compound of formula (XXII) (which includes compounds of formulas (XI) and (XV)), where R^(2a) and R^(2b) are H or CH₃, and X is CH₂ or O, where the acid is activated with an appropriate activating reagent, for example a carbodiimide, such as N,N′-dicyclohexylcarbodiimide (DCC) or 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide (EDC) optionally in the presence of hydroxybenzotriazole (HOBt) and/or a catalyst such as 4-dimethylaminopyridine (DMAP); a halotrisaminophosphonium salt such as BOP, or bromotripyrrolidinophosphonium hexafluorophosphate (PyBroP®); a suitable pyridinium salt such as 2-chloro-1-methyl pyridinium chloride; or another suitable coupling agent such as N,N,N′,N′-tetramethyl-O-(1H-benzotriazol-1-yl)uronium hexafluorophosphate (HBTU), HATU, 2,4,6-tripropyl-1,3,5,2,4,6-trioxatriphosphorinane-2,4,6-trioxide (T3P®), and the like. Coupling reactions are conducted in a suitable solvent such as DCM, THF, DMF, and the like; optionally in the presence of a tertiary amine such as N-methylmorpholine, diisopropylethylamine (DIPEA), or TEA, at a temperature ranging from 0° C. to rt, to provide (2s,4s)-2-(4-bromopiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one. A compound of formula (XIX), where R^(2a), R^(2b) are H and X is O, is subjected to coupling conditions previously described with a bromobenzene compound of formula R³—Br, where R³ is phenyl substituted with one, two or three members independently selected from: halo, OC₁₋₆haloalkyl, and C₁₋₆haloalkyl, to provide a compound of Formula (I) where R^(5a) and R^(5b) are H.

According to SCHEME 10, tert-butyl 4-bromopiperidine-1-carboxylate is subjected to coupling conditions as previously described; with a compound of formula R³—Br, where R³ is phenyl or pyridyl substituted with one, two, or three members selected from: halo, C₁₋₆alkyl, C₁₋₆haloalkyl, C₁₋₆cycloalkyl, OC₁₋₆haloalkyl, phenyl, Ophenyl, Opyridyl, Si(CH₃)₃, SF₅, OC₁₋₄cycloalkyl, C(CH₃)₂OH, or OC₁₋₆alkyl; to provide a compound of formula (XX). Cleavage of the BOC protecting group on a compound of formula (XX) is achieved according to methods previously described to give a compound of formula (XXI). A compound of formula (XXI) is coupled with a commercially available or synthetically accessible compound of formula (XXII) (which includes compounds of formulas (XI) and (XV)), where R^(2a) and R^(2b) are H or CH₃, and X is CH₂ or O, employing amide bond coupling methodologies as previously described, to provide a compound of Formula (I), where R⁴, R^(5a) and R^(5b) are H.

According to SCHEME 11, a compound of formula (XXIV), where R^(5a) and R^(5b) are each independently H or CH₃, is reacted in a metal-mediated cross coupling reaction; with a suitably substituted aryl or heteroaryl boronic acid, boronic ester, and the like; under Suzuki conditions known to one skilled in the art; in the presence of a palladium catalyst such as (2-dicyclohexylphosphino-2′,6′-diisopropoxy-1,1′-biphenyl)[2-(2′-amino-1,1′-biphenyl)]palladium(II) methanesulfonate (RuPhos-Pd-G3), [1,1′-bis(diphenylphosphino)ferrocene]dichloropalladium(II) (PdCl₂(dppf)), tetrakis(triphenylphosphine)palladium(0) (Pd(PPh₃)₄), and the like; a base such as K₃PO₄, K₂CO₃, Na₂CO₃, Cs₂CO₃, and the like; potassium fluoride; in a suitable solvent such as 1,4-dioxane, DMF, ethanol, water, or a mixture thereof, at temperatures ranging from 60 to 150° C.; employing conventional or microwave heating; to provide a compound of formula (XXV). A compound of formula (XXV) is treated with benzyl bromide in a solvent such as ACN, and the like; to provide a compound of formula (XXVI). A compound of formula (XXVI) is treated with a reducing agent such as NaBH₄, and the like; in a solvent such as MeOH, and the like; to provide a compound of formula (XXVII). A compound of formula (XXVII) is reacted under hydrogenation conditions known to one skilled in the art, for example employing H₂ in the presence of a catalyst such as Pd/C, and the like, in a suitable solvent such as MeOH, and the like, to provide a compound of formula (XXVIII). A compound of formula (XXVIII) is reacted under amide coupling conditions as previously described with a compound of formula (XXII) (which includes compounds of formulas (XI) and (XV)), where R^(2a) and R^(2b) are H or CH₃, and X is CH₂ or O, to provide a compound of Formula (I), where R⁴ is H.

According to SCHEME 12, 4-bromo-3-methylpyridine is alkylated employing conditions with benzyl bromide previously described to provide 1-benzyl-4-bromo-3-methylpyridin-1-ium bromide. 1-Benzyl-4-bromo-3-methylpyridin-1-ium bromide is reduced employing conditions previously described to provide 1-benzyl-4-bromo-5-methyl-1,2,3,6-tetrahydropyridine. 1-Benzyl-4-bromo-5-methyl-1,2,3,6-tetrahydropyridineis is reacted with a suitably substituted aryl or heteroaryl boronic acid of formula (XXIII); employing Suzuki coupling conditions previously described, to provide a compound of formula (XXVII). A compound of formula (XXVII) is submitted to hydrogenation conditions as previously described to provide a compound of formula (XXVIII). A compound of formula (XXVIII) is reacted under amide coupling conditions as previously described with a compound of formula (XXII) (which includes compounds of formulas (XI) and (XV)), where R^(2a) and R^(2b) are H or CH₃, and X is CH₂ or O, to provide a compound of Formula (I), where R⁴ is H, R^(5a) is H, and R^(5b) is CH₃.

According to SCHEME 13, an appropriately substituted aryl bromide such as 2-bromo-6-tert-butylpyridine is treated with n-BuLi; in a suitable solvent such as THF, and the like; 1-boc-4-piperidone; at temperatures ranging from −78° C. to room temperature; for period of 1-3 hrs; to provide tert-butyl 4-(6-(tert-butyl)pyridin-2-yl)-4-hydroxypiperidine-1-carboxylate, tert-Butyl 4-(6-(tert-butyl)pyridin-2-yl)-4-hydroxypiperidine-1-carboxylate is reacted with a halogenating reagent such as thionyl chloride (SOCl₂), and the like; a catalyst such as 4-(dimethylamino)pyridine (DMAP), and the like; in a suitable solvent such as pyridine, and the like; to provide tert-butyl 6-(tert-butyl)-3′,6′-dihydro-[2,4′-bipyridine]-1′(2′H)-carboxylate. tert-Butyl 6-(tert-butyl)-3′,6′-dihydro-[2,4′-bipyridine]-1′(2′H)-carboxylate is reacted under hydrogenation conditions as previously described, to provide a compound of formula (XX), where R³ is pyridine substituted with C₁₋₆alkyl. Cleavage of the BOC protecting group on a compound of formula (XX) is achieved according to methods known to one skilled in the art or as previously described, to give a compound of formula (XXI). A compound of formula (XXI) is reacted under amide coupling conditions as previously described, with a compound of formula (XXII) (which includes compounds of formulas (XI) and (XV)), where R^(2a) and R^(2b) are H or CH₃, and X is CH₂ or O, to provide a compound of Formula (I), where R⁴ is H.

Compounds of Formula (I) may be converted to their corresponding salts using methods known to one of ordinary skill in the art. For example, an amine of Formula (I) is treated with trifluoroacetic acid, HCl, or citric acid in a solvent such as Et₂O, CH₂Cl₂, THF, MeOH, chloroform, or isopropanol to provide the corresponding salt form. Alternately, trifluoroacetic acid or formic acid salts are obtained as a result of reverse phase HPLC purification conditions. Crystalline forms of pharmaceutically acceptable salts of compounds of Formula (I) may be obtained in crystalline form by recrystallization from polar solvents (including mixtures of polar solvents and aqueous mixtures of polar solvents) or from non-polar solvents (including mixtures of non-polar solvents).

Where the compounds according to this invention have at least one chiral center, they may accordingly exist as enantiomers. Where the compounds possess two or more chiral centers, they may additionally exist as diastereomers. It is to be understood that all such isomers and mixtures thereof are encompassed within the scope of the present invention.

Compounds prepared according to the schemes described above may be obtained as single forms, such as single enantiomers, by form-specific synthesis, or by resolution. Compounds prepared according to the schemes above may alternately be obtained as mixtures of various forms, such as racemic (1:1) or non-racemic (not 1:1) mixtures. Where racemic and non-racemic mixtures of enantiomers are obtained, single enantiomers may be isolated using conventional separation methods known to one of ordinary skill in the art, such as chiral chromatography, recrystallization, diastereomeric salt formation, derivatization into diastereomeric adducts, biotransformation, or enzymatic transformation. Where regioisomeric or diastereomeric mixtures are obtained, as applicable, single isomers may be separated using conventional methods such as chromatography or crystallization.

The following specific examples are provided to further illustrate the invention and various preferred embodiments.

EXAMPLES

In obtaining the compounds described in the examples below and the corresponding analytical data, the following experimental and analytical protocols were followed unless otherwise indicated.

Unless otherwise stated, reaction mixtures were magnetically stirred at room temperature (rt) under a nitrogen atmosphere. Where solutions were “dried,” they were generally dried over a drying agent such as Na₂SO₄ or MgSO₄. Where mixtures, solutions, and extracts were “concentrated”, they were typically concentrated on a rotary evaporator under reduced pressure. Reactions under microwave irradiation conditions were carried out in a Biotage Initiator or CEM (Microwave Reactor) Discover instrument.

For the reactions conducted under continuous flow conditions, “flowed through a LTF-VS mixer” refers to the use of a Chemyx Fusion 100 Touch Syringe Pump that is in line via 1/16″ PTFE tubing to a LTF-VS mixer (Little Things Factory GmbH (http://www.ltf-gmbh.com), unless otherwise indicated.

Normal-phase silica gel chromatography (FCC) was performed on silica gel (SiO₂) using prepacked cartridges.

Preparative reverse-phase high performance liquid chromatography (RP HPLC) was performed on either:

-   -   METHOD A. An Agilent HPLC with an Xterra Prep RP18 column (5 μM,         30×100 or 50×150 mm) or an XBridge C18 OBD column (5 μM, 30×100         or 50×150 mm), and a mobile phase of 5% ACN in 20 mM NH₄OH was         held for 2 min, then a gradient of 5-99% ACN over 15 min, then         held at 99% ACN for 5 min, with a flow rate of 40 or 80 mL/min.     -   or     -   METHOD B. A Shimadzu LC-8A Series HPLC with an Inertsil ODS-3         column (3 μm, 30×100 mm, T=45° C.), mobile phase of 5% ACN in         H₂O (both with 0.05% TFA) was held for 1 min, then a gradient of         5-99% ACN over 6 min, then held at 99% ACN for 3 min, with a         flow rate of 80 mL/min.     -   or     -   METHOD C. A Shimadzu LC-8A Series HPLC with an XBridge C18 OBD         column (5 μm, 50×100 mm), mobile phase of 5% ACN in H₂O (both         with 0.05% TFA) was held for 1 min, then a gradient of 5-99% ACN         over 14 min, then held at 99% ACN for 10 min, with a flow rate         of 80 mL/min.     -   or     -   METHOD D. A Gilson HPLC with an XBridge C18 column (5 μm, 100×50         mm), mobile phase of 5-99% ACN in 20 mM NH₄OH over 10 min and         then hold at 99 ACN for 2 min, at a flow rate of 80 mL/min.     -   or     -   METHOD E. An ACCQ Prep HPLC with an XBridge C18 OBD column (5         μM, 50×100), mobile phase of 5% ACN in H₂O (both with 0.05% TFA)         was held for 1 min, then a gradient of 5-95% ACN over 12 min,         then held at 95% ACN for 2 min, with a flow rate of 80 mL/min.

Preparative supercritical fluid high performance liquid chromatography (SFC) was performed either on a Jasco preparative SFC system, an APS 1010 system from Berger instruments, or a SFC-PICLAB-PREP 200 (PIC SOLUTION, Avignon, France). The separations were conducted at 100 to 150 bar with a flow rate ranging from 40 to 60 mL/min. The column was heated to 35 to 40° C.

Mass spectra (MS) were obtained on an Agilent series 1100 MSD using electrospray ionization (ESI) in positive mode unless otherwise indicated. Calculated (calcd.) mass corresponds to the exact mass.

Nuclear magnetic resonance (NMR) spectra were obtained on Bruker model DRX spectrometers. Definitions for multiplicity are as follows: s=singlet, d=doublet, t=triplet, q=quartet, p=pentet, hept=heptet, dd=doublet of a doublet, dt=doublet of a triplet, pd=pentet of a doublet, ddd=doublet of a doublet of a doublet, tp=triplet of a pentet, td=triplet of a doublet, qd=quartet of a doublet, dq=doublet of a quartet, tt=triplet of a triplet, td=triplet of a doublet, m=multiplet, br=broad. It will be understood that for compounds comprising an exchangeable proton, said proton may or may not be visible on an NMR spectrum depending on the choice of solvent used for running the NMR spectrum and the concentration of the compound in the solution.

Chemical names were generated using ChemDraw Ultra 17.1 (CambridgeSoft Corp., Cambridge, Mass.) or OEMetaChem V1.4.0.4 (Open Eye).

Compounds designated as R* or S* are enantiopure compounds where the absolute configuration was not determined.

Intermediate 1: tert-Butyl 3-nitrocyclobutanecarboxylate

Step A: tert-Butyl 3-hydroxyiminocyclobutanecarboxylate

To a solution of tert-butyl 3-oxocyclobutane-1-carboxylate (100 g, 588 mmol) in EtOH (1.8 L) was added NaOAc (192 g, 2340 mmol) and hydroxylamine hydrochloride (81 g, 1166 mmol). The reaction mixture was stirred at reflux for 4 h then filtered through a pad of Celite® and the pad was washed with EtOH. The combined filtrates were evaporated under reduced pressure and the residue was taken up in EtOAc and washed with water and brine. The organic layer was dried over magnesium sulfate, filtered and evaporated under reduced pressure to give the title compound (108 g, 99% yield) as a white solid. MS (ESI): mass calcd. for C₉H₁₅NO₃ 185.1; m/z found, 186.2 [M+H]⁺.

Step B: tert-Butyl 3-nitrocyclobutanecarboxylate

To a suspension of urea hydrogen peroxide (164 g, 1.74 mol) in ACN (1 L) was added a solution of TFAA (245 mL, 1.75 mol) in ACN (500 mL) dropwise over 1 h at −10° C. The reaction mixture was stirred at room temperature for 1 h. This was added to a solution of tert-butyl 3-hydroxyiminocyclobutanecarboxylate (108 g, 0.584 mol) and sodium phosphate dibasic (911 g, 6.42 mol) in ACN (1 L) dropwise over 30 min at 80° C. The reaction mixture was stirred at 80° C. for 30 min then filtered through a pad of Celite® and the pad was washed with ACN. The combined filtrates were diluted with EtOAc and the mixture was washed with water and brine. The organic layer was dried over magnesium sulfate, filtered and evaporated under reduced pressure. The residue was purified by flash column chromatography (FCC) on silica (0-20% EtOAc in heptane) to give the title compound (89.6 g, 76% yield) as a yellow oil as a 1.3:1 mixture of cis/trans isomers. Compound does not ionize with ESI⁺ LCMS.

Intermediate 2: Ethyl 3-nitrocyclobutanecarboxylate

The title compound was prepared in a manner analogous to Intermediate 1 using ethyl 3-oxocyclobutane-1-carboxylate instead of tert-butyl 3-oxocyclobutane-1-carboxylate in Step A. Compound does not ionize with ESI⁺ LCMS. ¹H NMR (300 MHz, CDCl₃) δ 5.02-4.70 (m, 1H), 4.20 (q, J=7.2 Hz, 2H), 3.04-2.71 (m, 5H), 1.29 (t, J=7.0 Hz, 3H).

Intermediate 3: (2s,4s)-6-Oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic Acid

Step A: tert-Butyl (1s,3s)-3-(hydroxymethyl)-3-nitrocyclobutane-1-carboxylate

To a solution of tert-butyl 3-nitrocyclobutanecarboxylate (Intermediate 1, 89.6 g, 445 mmol) in MeCN (1 L) was added formaldehyde (37 wt % in water, 73 mL, 971 mmol). To the reaction mixture was added triethylamine (TEA) (62 mL, 444 mmol) dropwise at 0° C. and the reaction was stirred at room temperature for 2 h. The reaction mixture was evaporated and the residue was purified by FCC on silica (0-25% EtOAc in heptane) to give the title compound (38.2 g, 165 mmol, 37% yield) as a white powder. MS (ESI): mass calcd. for C₁₀H₁₇NO₅ 231.2; m/z found, 254.1 [M+Na]⁺. trans-tert-Butyl 3-(hydroxymethyl)-3-nitro-cyclobutanecarboxylate was formed, but not isolated.

Step B: tert-Butyl (1s,3s)-3-amino-3-(hydroxymethyl)cyclobutane-1-carboxylate

To a solution of tert-butyl (1s,3s)-3-(hydroxymethyl)-3-nitro-cyclobutanecarboxylate (38 g, 165 mmol) in EtOAc (600 mL) was added 10% palladium on carbon (Pd/C) (1.9 g). The reaction mixture was stirred at 50° C. for 1 h under hydrogen (H2) (10 bar). The reaction mixture was filtered through a pad of Celite®. To the filtrate was added 10% Pd/C (1.9 g). The reaction mixture was stirred at 50° C. for 2 h under H2 (10 bar). The reaction mixture was filtered through a pad of Celite® and the Celite® was washed with EtOAc. The combined filtrates were evaporated and the residue was triturated with diethyl ether (Et₂O) to give the title compound (18.6 g, 92.4 mmol, 55% yield) as a white powder. MS (ESI): mass calcd. for C₁₀H₁₉NO₃ 201.1; m/z found, 202.2 [M+H]⁺. ¹H NMR (300 MHz, DMSO-d6) δ 5.26-3.98 (m, 1H), 3.74-2.94 (m, 4H), 2.70-2.57 (m, 1H), 2.20-2.07 (m, 2H), 1.97-1.82 (m, 2H), 1.39 (s, 9H).

Step C: tert-Butyl (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylate

To a solution of tert-butyl (1s,3s)-3-amino-3-(hydroxymethyl)cyclobutane-1-carboxylate (18.6 g, 92.4 mmol) in tetrahydrofuran (THF) (300 mL) was added TEA (26 mL, 186 mmol). To the mixture was added a solution of triphosgene (9.6 g, 32.4 mmol) in THF (200 mL) dropwise at −10° C. and stirred at room temperature for 1 h. The reaction mixture poured into saturated sodium bicarbonate (600 mL) and the mixture was extracted with EtOAc. The combined organic layers were dried over magnesium sulfate, filtered, and evaporated. The residue was triturated with Et₂O to give the title compound (17.7 g, 77.9 mmol, 84% yield) as a white powder. MS (ESI): mass calcd. for C₁₁H₁₇NO₄ 227.1; m/z found, 228.2 [M+H]⁺.

Step D: (2s,4s)-6-Oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid

To trifluoroacetic acid (TFA) (180 mL, 235 mmol) was added tert-butyl (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylate (17.7 g, 77.9 mmol) in portions at 0° C. The reaction mixture was stirred at room temperature for 1 h. The reaction mixture was evaporated and the residue was triturated with Et₂O to afford the title compound (12.9 g, 75.4 mmol, 96% yield) as a white powder. MS (ESI): mass calcd. for C₇H₉NO₃ 171.0; m/z found, 172.1 [M+H]⁺. ¹H NMR (500 MHz, DMSO-d₆) δ 12.26 (br s, 1H), 8.08 (s, 1H), 4.34 (s, 2H), 2.79-2.66 (m, 1H), 2.43-2.29 (m, 4H).

Intermediate 4: (2r,4s)-6-Oxo-5-azaspiro[3.4]octane-2-carboxylic Acid

Step A: Ethyl (1r,3s)-3-(3-methoxy-3-oxopropyl)-3-nitrocyclobutane-1-carboxylate

To a solution of ethyl 3-nitrocyclobutanecarboxylate (Intermediate 2, 16.6 g, 95.6 mmol) in MeCN (145 mL) was added methyl acrylate (10.3 mL, 114 mmol). To the reaction mixture was added 1,8-diazabicyclo[5.4.0]undec-7-ene (7.1 mL, 47.6 mmol) dropwise at 0° C. and the reaction mixture was stirred at 0° C. for 1 h. The reaction mixture was diluted with saturated ammonium chloride and EtOAc and the layers were separated. The organic layer was dried over magnesium sulfate, filtered and evaporated. The residue was purified by FCC on silica (0-15% EtOAc in heptane) to give the title compound (13.6 g, 52.6 mmol, 55% yield) as a colorless liquid. MS (ESI): mass calcd. for C₁₁H₁₇NO₆ 259.1; m/z found, 282.1 [M+Na]⁺. ¹H NMR (300 MHz, Chloroform-d) δ 4.17 (q, J=7.1 Hz, 2H), 3.70 (s, 3H), 3.12-2.79 (m, 3H), 2.69-2.49 (m, 2H), 2.48-2.21 (m, 4H), 1.27 (t, J=7.1 Hz, 3H).

Step B: (2r,4s)-6-Oxo-5-azaspiro[3.4]octane-2-carboxylic acid

To a solution of ethyl (1r,3s)-3-(3-methoxy-3-oxopropyl)-3-nitrocyclobutane-1-carboxylate (13.6 g, 52.5 mmol) in methanol (MeOH) (133 mL) was added nickel(II) chloride hexahydrate (12.5 g, 52.6 mmol). To the reaction mixture was added sodium borohydride (NaBH₄) (10 g, 264 mmol) in small portions at −10° C. and the reaction mixture was stirred at 0° C. for 1 h. To the reaction mixture was added aqueous potassium carbonate (47 mL, 141 mmol, 3 M) dropwise at 0° C. (pH 10) and the reaction mixture was stirred at 0° C. for 1 h. The reaction mixture was filtered through a pad of Celite® and the pad was washed with EtOH. The combined filtrates were evaporated. The residue was purified by FCC on silica eluting with chloroform:methanol:acetic acid (100:0:0→9:1:1) to give the title compound (4.8 g, 28.2 mmol, 53% yield) as an off-white powder. MS (ESI): mass calcd. for C₈H₁₁NO₃ 169.1; m/z found, 170.1 [M+H]⁺. ¹H NMR (300 MHz, DMSO-d₆) δ 7.97 (br s, 1H), 4.01-2.94 (m, 1H), 2.82-2.65 (m, 1H), 2.36-2.01 (m, 8H).

Intermediate 5: cis-tert-Butyl 3-amino-3-(1-hydroxyethyl)cyclobutanecarboxylate

Step A: tert-Butyl 3-(1-hydroxyethyl)-3-nitro-cyclobutanecarboxylate

To a solution of tert-butyl 3-nitrocyclobutanecarboxylate (Intermediate 1, 11.7 g, 58.1 mmol) in ACN (120 mL) was added acetaldehyde (19.6 mL, 349 mmol). To the reaction mixture was added TEA (8.1 mL, 58 mmol) dropwise at 0° C. and the reaction mixture was stirred at room temperature for 18 h. The reaction mixture was evaporated under reduced pressure and the residue was purified by FCC on silica (0-20% EtOAc in heptane) to give the title compound (10.5 g) as a colorless oil in a mixture of cis and trans isomers. MS (ESI): mass calcd. for C₁₁H₁₉NO₅ 245.1; m/z found, 263.2 [M+H+NH₃]⁺.

Step B: tert-Butyl (1s,3s)-3-amino-3-(1-hydroxyethyl)cyclobutane-1-carboxylate

To a solution of a tert-butyl 3-(1-hydroxyethyl)-3-nitro-cyclobutanecarboxylate (10.5 g, 42.8 mmol) in EtOAc (110 mL) was added 10% Pd/C (1 g). The reaction mixture was stirred at 50° C. for 1 h under H2 (10 bar). The reaction mixture was filtered through a pad of Celite®. To the filtrate was added 10% Pd/C (500 mg) and the reaction mixture was stirred at 50° C. for 2 h under H2 (10 bar). The reaction mixture was filtered through a pad of Celite® and the pad was washed with EtOAc. The combined filtrates were evaporated and the residue was purified by FCC on silica eluting with chloroform:methanol:ammonium hydroxide (1:0:0→9:1:0.05) to give the title compound (3.6 g, 16.7 mmol, 39% yield) as a yellow oil. MS (ESI): mass calcd. for C₁₁H₂₁NO₃ 215.2; m/z found, 216.3 [M+H]⁺. ¹H NMR (300 MHz, Chloroform-d) δ 3.83-3.64 (m, 1H), 2.80-2.61 (m, 1H), 2.54 (br s, 2H), 2.52-2.27 (m, 3H), 2.14-1.93 (m, 2H), 1.45 (s, 9H), 1.22-1.13 (m, 3H). Additional fractions from the same purification were collected to give tert-butyl (1r,3r)-3-amino-3-(1-hydroxyethyl)cyclobutanecarboxylate (550 mg) as a yellow oil.

Intermediate 6: (2s,4s)-8-Methyl-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic Acid

Step A: cis-tert-Butyl 8-methyl-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylate

To a solution of tert-butyl (1s,3s)-3-amino-3-(1-hydroxyethyl)cyclobutane-1-carboxylate (Intermediate 5, 15.2 g, 70.4 mmol) in THF (240 mL) was added TEA (20 mL, 143 mmol). To the mixture was added a solution of triphosgene (7.3 g, 24.6 mmol) in THF (170 mL) dropwise at −10° C. and the reaction mixture was stirred at room temperature for 1 h. The reaction mixture was poured into saturated NaHCO₃ and extracted with EtOAc. The combined organic layers were dried over magnesium sulfate, filtered, and evaporated under reduced pressure. The residue was purified by FCC on silica (0-35% EtOAc in heptane) to give the title compound (9.0 g, 52% yield) as a white powder. MS (ESI): mass calcd. for C₁₂H₁₉NO₄ 241.1; m/z found, 242.2 [M+H]⁺.

Step B: (2s,4s)-8-Methyl-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid

To TFA (60 mL, 784 mmol) was added cis-tert-butyl 8-methyl-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylate (6.1 g, 25.3 mmol) in portions at 0° C. and the reaction mixture was stirred at room temperature for 1 h. The reaction mixture was evaporated under reduced pressure and the residue was triturated with Et₂O to give the title compound (4.3 g, 91% yield) as a white powder. MS (ESI): mass calcd. for C₈H₁₁NO₄ 185.1; m/z found, 186.1 [M+H]⁺. ¹H NMR (500 MHz, DMSO-d₆) δ 12.23 (br s, 1H), 7.94 (s, 1H), 4.50 (q, J=6.4 Hz, 1H), 2.68-2.59 (m, 1H), 2.53-2.46 (m, 1H), 2.41-2.35 (m, 1H), 2.32-2.24 (m, 1H), 2.17 (dd, J=12.0, 10.1 Hz, 1H), 1.30 (d, J=6.5 Hz, 3H).

Intermediate 7: (2s,4s)-8,8-Dimethyl-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic Acid

Step A: cis-tert-Butyl 3-(tert-butoxycarbonylamino)-3-(1-hydroxyethyl)cyclobutanecarboxylate

To a solution of cis-tert-butyl 3-amino-3-(1-hydroxyethyl)cyclobutanecarboxylate (Intermediate 5, 3.1 g, 14.4 mmol) in DCM (60 mL) was added di-tert-butyl dicarbonate (3.5 g, 16 mmol) and TEA (4 mL, 28.7 mmol). The reaction mixture was stirred at room temperature for 3 h. To the reaction mixture was added water and DCM. The layers were separated, and the organic layer was dried over sodium sulfate, filtered, and evaporated under reduced pressure. The resulting residue was purified by FCC on silica (25% EtOAc in heptane) to give the title compound (3.0 g, 66% yield) as a white powder. MS (ESI): mass calcd. for C₁₆H₂₉NO₅ 315.2; m/z found, 338.2 [M+Na]⁺. ¹H NMR (500 MHz, CDCl₃) δ 4.89 (s, 1H), 3.88 (q, J=6.3 Hz, 1H), 3.36-2.93 (m, 1H), 2.91-2.74 (m, 2H), 2.30-2.18 (m, 2H), 2.18-2.09 (m, 1H), 1.44 (s, 9H), 1.42 (s, 9H), 1.13 (d, J=6.3 Hz, 3H).

Step B: cis-tert-Butyl 3-acetyl-3-(tert-butoxycarbonylamino)cyclobutanecarboxylate

To a solution of cis-tert-butyl 3-(tert-butoxycarbonylamino)-3-(1-hydroxyethyl)cyclobutanecarboxylate (3.0 g, 9.51 mmol) in DCM (60 mL) was added DMP (4.8 g, 11.4 mmol) at 10° C. and the reaction mixture was stirred at room temperature for 3 h. To the reaction mixture was added saturated NaHCO₃ and DCM. The layers were separated, and the organic layer was dried over sodium sulfate, filtered and evaporated under reduced pressure. The residue was purified by FCC on silica (0-25% EtOAc in heptane) to give the title compound (2.6 g, 8.17 mmol, 85% yield) as a white powder. MS (ESI): mass calcd. for C₁₆H₂₇NO₅ 313.19; m/z found, 336.2 [M+Na]⁺. ¹H NMR (500 MHz, CDCl₃) δ 5.29 (s, 1H), 2.93-2.81 (m, 1H), 2.80-2.69 (m, 2H), 2.16 (s, 3H), 2.25-2.09 (m, 2H), 1.43 (s, 9H), 1.42-1.36 (m, 9H).

Step C: cis-tert-Butyl 3-(tert-butoxycarbonylamino)-3-(1-hydroxy-1-methyl-ethyl)cyclobutanecarboxylate

To a solution of cis-tert-butyl 3-acetyl-3-(tert-butoxycarbonylamino)cyclobutanecarboxylate (2.5 g, 7.98 mmol) in THF (50 mL) was added methylmagnesium bromide (8 mL, 24 mmol, 3 M in Et₂O) dropwise at −40° C. The reaction mixture was stirred at −40° C. for 1 h. The reaction mixture was diluted with ammonium chloride and extracted with EtOAc. The combined organic layers were dried over sodium sulfate, filtered and evaporated under reduced pressure. The residue was purified by FCC on silica (0-20% EtOAc in heptane) to give the title compound (650 mg, 24% yield) as a white powder. MS (ESI): mass calcd. for C₁₇H₃₁NO₅ 329.2; m/z found, 174.2 [M+H−tBu−Boc]⁺. ¹H NMR (500 MHz, CDCl₃) δ 4.91 (br s, 1H), 4.11-2.93 (m, 1H), 2.88-2.78 (m, 1H), 2.64-2.55 (m, 2H), 2.30-2.18 (m, 2H), 1.44 (s, 9H), 1.42 (s, 9H), 1.21 (s, 6H).

Step D: cis-tert-Butyl 3-amino-3-(1-hydroxy-1-methyl-ethyl)cyclobutanecarboxylate

To a solution of cis-tert-butyl 3-(tert-butoxycarbonylamino)-3-(1-hydroxy-1-methyl-ethyl)cyclobutanecarboxylate (650 mg, 1.97 mmol) in DCM (13 mL) was added TFA (1.2 mL, 15.7 mmol) and the reaction mixture was stirred at room temperature for 1 h. To the reaction mixture was added saturated sodium carbonate and DCM. The layers were separated, and the organic layer was dried over sodium sulfate, filtered and evaporated under reduced pressure to give the title compound (430 mg, 95% yield) as a yellow oil. MS (ESI): mass calcd. for C₁₂H₂₃NO₃ 229.2; m/z found, 230.4 [M+H]⁺.

Step E: cis-tert-Butyl 8,8-dimethyl-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylate

To a solution of cis-tert-butyl 3-amino-3-(1-hydroxy-1-methyl-ethyl)cyclobutanecarboxylate (630 mg, 2.75 mmol) in THF (10 mL) was added TEA (770 μL, 5.52 mmol). To the mixture was added a solution of triphosgene (285 mg, 0.96 mmol) in THF (7.5 mL) dropwise at −10° C. and the reaction mixture was stirred at room temperature for 1 h. The reaction mixture was poured into saturated NaHCO₃ and extracted with EtOAc. The combined organic layers were dried over magnesium sulfate, filtered and evaporated under reduced pressure. The residue was purified by FCC on silica (0-35% EtOAc in heptane) to give the title compound (520 mg, 74% yield) as a white powder. MS (ESI): mass calcd. for C₁₃H₂₁NO₄ 255.2; m/z found, 256.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 6.06 (br s, 1H), 2.73-2.63 (m, 3H), 2.28-2.17 (m, 2H), 1.45 (s, 9H), 1.39 (s, 6H).

Step F: (2s,4s)-8,8-Dimethyl-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid

To TFA (5.2 mL, 67.9 mmol) was added cis-tert-butyl 8,8-dimethyl-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylate (520 mg, 2.04 mmol) in portions at 0° C. and the reaction mixture was stirred at room temperature for 1 h. The reaction mixture was evaporated under reduced pressure and the residue was triturated with Et₂O to give the title compound (330 mg, 81% yield) as a white powder. MS (ESI): mass calcd. for C₉H₁₃NO₄ 199.1; m/z found, 200.1 [M+H]⁺. ¹H NMR (300 MHz, DMSO-d₆) δ 12.25 (s, 1H), 7.84 (s, 1H), 2.76-2.41 (m, 3H), 2.33-2.17 (m, 2H), 1.38 (s, 6H).

Intermediate 8: 4-(4-Methyl-3-(trifluoromethoxy)phenyl)piperidine

Step A: tert-Butyl 4-(3-hydroxy-4-methylphenyl)piperidine-1-carboxylate

In an oven-dried pressure vial, N-boc-4-bromopiperidine (200 mg, 0.742 mmol) was combined with 5-bromo-2-methylphenol (146 mg, 0.742 mmol), NiCl₂ (DME) (33 mg, 0.148 mmol), 1,10-phenanthroline (55 mg, 0.297 mmol), NaBF₄ (42 mg, 0.371 mmol), and Mn (81 mg, 1.48 mmol). This was taken up in anhydrous MeOH (3.7 mL) and 4-ethylpyridine (43 μL, 0.371 mmol) was added. The vial was capped, purged with nitrogen (N₂), and heated at 60° C. for 18 hours. The mixture was diluted with EtOAc, filtered through Celite®, and concentrated under reduced pressure. Purification via FCC on silica (0-30% EtOAc in hexane) afforded the title compound (116 mg, 54% yield). MS (ESI): mass calcd. for C₁₇H₂₅NO₃ 291.2; m/z found, 236.1 [M+2H−tBu]⁺.

Step B: tert-Butyl 4-(3-(bromodifluoromethoxy)-4-methylphenyl)piperidine-1-carboxylate

In an oven-dried flask under N₂, tert-butyl 4-(3-hydroxy-4-methylphenyl)piperidine-1-carboxylate (108 mg, 0.371 mmol) was taken up in DMA (0.75 mL) and cooled to 0° C. To this was added NaH (71 mg, 1.85 mmol) and the mixture was warmed to room temperature and stirred for 1.5 h. After cooling to 0° C., a solution of CBr₂F₂ (0.29 mL, 2.96 mmol) in DMA (0.75 mL) was added dropwise and this was stirred for 3 h at room temperature. Cooled back to 0° C. to add KOtBu (127 mg, 1.11 mmol) before heating to 80° C. for 24 h. Cooled the reaction, added water, extracted with EtOAc, dried over sodium sulfate (Na₂SO₄) and concentrated under reduced pressure. The resulting residue was purified by FCC on silica (0-50% EtOAc in hexane) to provide the title compound (36 mg, 23% yield).

Step C: 4-(4-Methyl-3-(trifluoromethoxy)phenyl)piperidine

To a solution of tert-butyl 4-(3-(bromodifluoromethoxy)-4-methylphenyl)piperidine-1-carboxylate (50 mg, 0.119 mmol) in DCM (1.2 mL) at −78° C. was added AgBF₄ (52 mg, 0.262 mmol). The reaction was allowed to warm to room temperature and stirred for 16 h. The resulting mixture was filtered through a PTFE filter with MeOH and concentrated under reduced pressure to provide the title compound which was used without further purification in the next step. MS (ESI): mass calcd. for C₁₃H₁₆F₃NO 259.1; m/z found, 260.1 [M+H]⁺.

Intermediate 9: tert-Butyl 4-(1H-pyrrolo[2,3-b]pyridin-2-yl)piperidine-1-carboxylate

Step A: tert-Butyl 4-((2-aminopyridin-3-yl)ethynyl)piperidine-1-carboxylate

A solution of 2-amino-3-bromopyridine (200 mg, 1.156 mmol), bis(triphenylphosphine)palladium(II) dichloride (42 mg, 0.060 mmol), tert-butyl 4-ethynylpiperidine-1-carboxylate (240 mg, 1.147 mmol), cuprous iodide (22 mg, 0.116 mmol), and TEA (1 mL, 7.194 mmol) in DMF (2 mL, previously sparged with N₂) was heated in a sealed pressure vial at 100° C. under N₂. After 15 h, the reaction was cooled to room temperature and the mixture was filtered through Celite® using EtOAc as eluent. The filtrate was washed with brine, dried (Na₂SO₄), filtered, and concentrated under reduced pressure. Purification via FCC on silica (0-100% EtOAc in hexane) provided the title compound as a brown oil (209 mg, 60% yield). MS (ESI): mass calcd. for C₁₇H₂₃N₃O₂ 301.2; m/z found, 302.2 [M+H]⁺.

Step B: tert-Butyl 4-(1H-pyrrolo[2,3-b]pyridin-2-yl)pipridine-1-carboxylate

To a solution of tert-butyl 4-((2-aminopyridin-3-yl)ethynyl)piperidine-1-carboxylate (183 mg, 0.607 mmol) in NMP (1.8 mL) was added KOtBu (1.8 mL, 1 M in THF) dropwise via syringe at room temperature under N₂. The resulting solution was heated to 70° C. for 16 h. This was then diluted with water and extracted with EtOAc. The organic layers were combined, washed with brine, dried (Na₂SO₄), filtered, and concentrated under reduced pressure. Purification via FCC on silica (0-100% EtOAc in hexane) provided the title compound as an off-white solid (93 mg, 51% yield). MS (ESI): mass calcd. for C₁₇H₂₃N₃O₂ 301.2; m/z found, 302.2 [M+H]⁺.

Intermediate 10: (racemic-(cis)-3-Methyl-4-(4-methyl-3-(trifluoromethyl)phenyl)piperidine

The title compound was prepared in a manner analogous to cis-3-methyl-4-(3-(trifluoromethoxy)phenyl)piperidine (Intermediate 28) using 4-methyl-3-(trifluoromethyl)phenylboronic acid instead of 3-(trifluoromethoxy)phenylboronic acid.

Intermediate 11: (2s,4s)-2-(4-Bromopiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

To N-boc-4-bromopiperidine (210 mg, 0.795 mmol) in MeOH (1 mL) was added hydrochloric acid (HCl) in 1,4-dioxane (4 M, 1.5 mL). This was heated to 45° C. for 1 hour before concentrating under reduced pressure. The residue was re-dissolved in DMF (2 mL) and to this was added (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3, 179 mg, 1.05 mmol), DIPEA (0.32 mL, 1.85 mmol), and (1-[bis(dimethylamino)methylene]-1H-1,2,3-triazolo[4,5-b]pyridinium 3-oxide hexafluorophosphate (HATU) (410 mg, 1.05 mmol). This was stirred at room temperature for 2 hours. The reaction mixture was filtered through a PTFE filter with MeOH and purified via reverse phase HPLC (5-95% ACN in 20 mM NH₄OH in water) to afford the title compound (117 mg, 46% yield). MS (ESI): mass calcd. for C₁₂H₁₇BrN₂O₃ 316.0; m/z found, 317.0 [M+H]⁺.

Intermediate 12: 1-Benzyl-4-bromo-5-methyl-1,2,3,6-tetrahydropyridine

Step A: 1-Benzyl-4-bromo-3-methylpyridin-1-ium bromide

4-bromo-3-methylpyridine (500 mg, 2.9 mmol) and benzyl bromide (0.41 mL, 3.5 mmol) were dissolved in ACN (5 mL) and stirred overnight at 70° C. The reaction mixture was washed with hexanes, concentrated under reduced pressure, and used directly in the next step without purification. MS (ESI): mass calcd. for C₁₃H₁₃BrN, 262.0; m/z found, 262.0 [M]⁺.

Step B: 1-Benzyl-4-bromo-5-methyl-1,2,3,6-tetrahydropyridine

1-Benzyl-4-bromo-3-methylpyridin-1-ium bromide from Step A was dissolved in MeOH (10 mL) and the reaction mixture was cooled to 0° C. NaBH₄ (330 mg, 8.7 mmol) was added slowly with stirring. The reaction mixture was stirred at 0° C. for 30 minutes, concentrated under reduced pressure, and partitioned between DCM and water. The organic layer was concentrated under reduced pressure and purified by FCC on silica (0-50% EtOAc in hexanes) to obtain the title compound (381 mg, 49% yield). MS (ESI): mass calcd. for C₁₃H₁₆BrN, 265.0; m/z found, 266.0 [M+H]⁺.

Intermediate 13: 4-(3-(tert-Butyl)phenyl)-3-methylpyridine

4-bromo-3-methylpyridine (1.0 g, 5.8 mmol), 4-(tert-butyl)phenylboronic acid (1.2 g, 7.0 mmol), cesium carbonate (5.7 g, 17 mmol) and 2-dicyclohexylphosphino-2′,6′-diisopropoxy-1,1′-biphenyl)[2-(2′-amino-1,1′-biphenyl)]palladium(II) methanesulfonate (RuPhos Pd G3) (243 mg, 0.29 mmol) were taken up in 1,4-dioxane (40 mL) and the reaction mixture was stirred at 100° C. overnight under N₂. The reaction mixture was concentrated under reduced pressure to remove solvent and the residue was partitioned between DCM and water. The aqueous layer was extracted with DCM and the combined organics were concentrated under reduced pressure and purified by FCC on silica (0-100% EtOAc in hexanes) to obtain the title compound (805 mg, 61% yield). MS (ESI): mass calcd. for C₁₆H₁₉N, 225.2; m/z found, 226.2 [M+H]⁺.

Intermediate 14: 4-(4-(tert-Butyl)phenyl)-2-methylpyridine

The title compound was prepared in a manner analogous to 4-(3-(tert-butyl)phenyl)-3-methylpyridine (Intermediate 13) using 4-(tert-butyl)phenylboronic acid instead of 3-(tert-butyl)phenylboronic acid and 4-bromo-2-methylpyridine instead of 4-bromo-3-methylpyridine. MS (ESI): mass calcd. for C₁₆H₁₉N, 225.2; m/z found, 226.2 [M+H]⁺.

Intermediate 15: 4-(4-(Trifluoromethyl)phenyl)-2-methylpyridine

The title compound was prepared in a manner analogous to 4-(3-(tert-butyl)phenyl)-3-methylpyridine (Intermediate 13) using 4-(trifluoromethyl)phenylboronic acid instead of 3-(tert-butyl)phenylboronic acid and 4-bromo-2-methylpyridine instead of 4-bromo-3-methylpyridine. MS (ESI): mass calcd. for C₁₃H₁₀F₃N, 237.1; m/z found, 238.1 [M+H]⁺.

Intermediate 16: 4-(3-(tert-Butyl)phenyl)-2-methylpyridine

The title compound was prepared in a manner analogous to 4-(3-(tert-butyl)phenyl)-3-methylpyridine (Intermediate 13) using 4-bromo-2-methylpyridine instead of 4-bromo-3-methylpyridine. MS (ESI): mass calcd. for C₁₋₆H19N, 225.2; m/z found, 226.2 [M+H]⁺.

Intermediate 17: 4-([1,1′-Biphenyl]-3-yl)-3-methylpyridine

The title compound was prepared in a manner analogous to 4-(3-(tert-butyl)phenyl)-3-methylpyridine (Intermediate 13) using biphenyl-3-boronic acid instead of 3-(tert-butyl)phenylboronic acid. MS (ESI): mass calcd. for C₁₈H₁₅N, 245.1; m/z found, 246.0 [M+H]⁺.

Intermediate 18: 1-Benzyl-4-(3-(tert-butyl)phenyl)-5-methyl-1,2,3,6-tetrahydropyridine

The title compound was prepared in a manner analogous to 1-benzyl-4-bromo-5-methyl-1,2,3,6-tetrahydropyridine (Intermediate 12) using 4-(3-(tert-butyl)phenyl)-3-methylpyridine (Intermediate 13) instead of 4-bromo-3-methylpyridine. MS (ESI): mass calcd. for C₂₃H₂₉N, 319.2; m/z found, 320.3 [M+H]⁺.

Intermediate 19: 1-Benzyl-4-(4-(tert-butyl)phenyl)-6-methyl-1,2,3,6-tetrahydropyridine

The title compound was prepared in a manner analogous to 1-benzyl-4-bromo-5-methyl-1,2,3,6-tetrahydropyridine (Intermediate 12) using 4-(4-(tert-butyl)phenyl)-2-methylpyridine (Intermediate 14) instead of 4-bromo-3-methylpyridine. MS (ESI): mass calcd. for C₂₃H₂₉N, 319.2; m/z found, 320.3 [M+H]⁺. Alkene isomer was not definitively determined.

Intermediate 20: 1-Benzyl-6-methyl-4-(4-(trifluoromethyl)phenyl)-1,2,3,6-tetrahydropyridine

The title compound was prepared in a manner analogous to 1-benzyl-4-bromo-5-methyl-1,2,3,6-tetrahydropyridine (Intermediate 12) using 4-(4-(trifluoromethyl)phenyl)-2-methylpyridine (Intermediate 15) instead of 4-bromo-3-methylpyridine. MS (ESI): mass calcd. for C₂₀H₂₀F₃N, 331.2; m/z found, 332.1 [M+H]⁺. Alkene isomer was not definitively determined.

Intermediate 21: 1-Benzyl-4-(4-(tert-butyl)phenyl)-6-methyl-1,2,3,6-tetrahydropyridine

The title compound was prepared in a manner analogous to 1-benzyl-4-bromo-5-methyl-1,2,3,6-tetrahydropyridine (Intermediate 12) using 4-(3-(tert-butyl)phenyl)-2-methylpyridine (Intermediate 16) instead of 4-bromo-3-methylpyridine. MS (ESI): mass calcd. for C₂₃H₂₉N, 319.2; m/z found, 320.1 [M+H]⁺. Alkene isomer was not definitively determined.

Intermediate 22: 4-([1,1′-Biphenyl]-3-yl)-1-benzyl-5-methyl-1,2,3,6-tetrahydropyridine

The title compound was prepared in a manner analogous to 1-benzyl-4-bromo-5-methyl-1,2,3,6-tetrahydropyridine (Intermediate 12) using 4-([1,1′-biphenyl]-3-yl)-3-methylpyridine (Intermediate 17) instead of 4-bromo-3-methylpyridine. MS (ESI): mass calcd. for C₂₅H₂₅N, 339.2; m/z found, 340.3 [M+H]⁺.

Intermediate 23: (racemic)-(cis)-3-Methyl-4-(4-(tert-butylphenyl)piperidine

1-Benzyl-4-(3-(tert-butyl)phenyl)-5-methyl-1,2,3,6-tetrahydropyridine (Intermediate 18, 270 mg, 0.845 mmol) and 10% Pd/C (500 mg) were taken up in EtOAc (20 mL). The reaction vessel was evacuated and backfilled with H₂. The reaction mixture was stirred at r.t. for 3 hours, filtered through Celite®, concentrated under reduced pressure, and used directly in subsequent transformations without further purification (183 mg, 0.791 mmol, 94% yield). MS (ESI): mass calcd. for C₁₆H₂₅N, 231.2; m/z found, 232.2 [M+H]⁺.

Intermediate 24: (racemic)-(cis)-4-([1,1′-Biphenyl]-3-yl)-3-methylpiperidine

The title compound was prepared in a manner analogous to racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23) using 4-([1,1′-biphenyl]-3-yl)-1-benzyl-5-methyl-1,2,3,6-tetrahydropyridine (Intermediate 19) instead of 1-benzyl-4-(3-(tert-butyl)phenyl)-5-methyl-1,2,3,6-tetrahydropyridine (Intermediate 18). MS (ESI): mass calcd. for C₁₈H₂₁N, 251.2; m/z found, 252.1 [M+H]⁺.

Intermediate 25: 4-(4-(tert-Butyl)phenyl)-2-methylpiperidine

The title compound (mixture of four diasteriomers) was prepared in a manner analogous to racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23) using 1-benzyl-4-(4-(tert-butyl)phenyl)-6-methyl-1,2,3,6-tetrahydropyridine (Intermediate 19) instead of 1-benzyl-4-(3-(tert-butyl)phenyl)-5-methyl-1,2,3,6-tetrahydropyridine (Intermediate 18). MS (ESI): mass calcd. for C₁₈H₂₁N, 251.2; m/z found, 252.1 [M+H]⁺.

Intermediate 26: 4-(4-(Trifluoromethyl)phenyl-2-methylpiperidine

The title compound (mixture of four diasteriomers) was prepared in a manner analogous to racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23) using 1-benzyl-6-methyl-4-(4-(trifluoromethyl)phenyl)-1,2,3,6-tetrahydropyridine (Intermediate 20) instead of 1-benzyl-4-(3-(tert-butyl)phenyl)-5-methyl-1,2,3,6-tetrahydropyridine (Intermediate 18). MS (ESI): mass calcd. for C₁₃H₁₆F₃N, 243.1; m/z found, 244.1 [M+H]⁺.

Intermediate 27: 4-(3-(tert-Butyl)phenyl)-2-methylpiperidine

The title compound (mixture of four diasteriomers) was prepared in a manner analogous to racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23) using 1-benzyl-4-(4-(tert-butyl)phenyl)-6-methyl-1,2,3,6-tetrahydropyridine (Intermediate 21) instead of 1-benzyl-4-(3-(tert-butyl)phenyl)-5-methyl-1,2,3,6-tetrahydropyridine (Intermediate 18). MS (ESI): mass calcd. for C₁₈H₂₁N, 251.2; m/z found, 252.1 [M+H]⁺.

Intermediate 28: (racemic-(cis)-3-Methyl-4-(3-(trifluoromethoxy)phenyl)piperidine

Step A: 1-Benzyl-5-methyl-4-(3-(trifluoromethoxy)phenyl)-1,2,3,6-tetrahydropyridine

1-Benzyl-4-bromo-5-methyl-1,2,3,6-tetrahydropyridine (Intermediate 12, 100 mg, 0.38 mmol), 3-(trifluoromethoxy)phenylboronic acid (95 mg, 0.45 mmol), cesium carbonate (367 mg, 1.13 mmol) and RuPhos Pd G3 (16 mg, 0.019 mmol) were taken up in dioxane and the reaction mixture was stirred at 100° C. overnight under N₂. The reaction mixture was concentrated under reduced pressure to remove solvent and the residue was partitioned between DCM and water. The aqueous layer was extracted with DCM and the combined organics were concentrated under reduced pressure and purified by FCC on silica (0-100% EtOAc in hexanes) to obtain the title compound (70 mg, 0.20 mmol, 54% yield). MS (ESI): mass calcd. for C₂₀H₂₀F₃NO 347.2; m/z found, 348.1 [M+H]⁺.

Step B: (racemic)-(cis)-3-Methyl-4-(3-(trifluoromethoxy)phenyl)piperidine

1-Benzyl-5-methyl-4-(3-(trifluoromethoxy)phenyl)-1,2,3,6-tetrahydropyridine (70 mg, 0.20 mmol) and 10% Pd/C (50 mg) were taken up in EtOAc. The reaction vessel was evacuated and backfilled with H₂, and the reaction mixture was stirred overnight at r.t., The mixture was filtered through Celite®, and concentrated under reduced pressure to obtain the title compound (56 mg, 0.22 mmol, 107% yield). MS (ESI): mass calcd. for C₁₃H₁₆F₃NO 259.1; m/z found, 260.1 [M+H]⁺.

Intermediate 29: (racemic)-(cis)-3-Methyl-4-(3-(trifluoromethyl)phenyl)piperidine

The title compound was prepared in a manner analogous to cis-3-methyl-4-(3-(trifluoromethoxy)phenyl)piperidine (Intermediate 28) using 3-(trifluoromethyl)phenylboronic acid instead of 3-(trifluoromethoxy)phenylboronic acid. MS (ESI): mass calcd. for C₁₃H₁₆F₃N, 243.1; m/z found, 244.1 [M+H]⁺.

Intermediate 30: (racemic)-(cis)-3-Methyl-4-(3-methyl-4-(trifluoromethoxy)phenyl)piperidine

The title compound was prepared in a manner analogous to cis-3-methyl-4-(3-(trifluoromethoxy)phenyl)piperidine (Intermediate 28) using 3-methyl-4-(trifluoromethoxy)phenylboronic acid instead of 3-(trifluoromethoxy)phenylboronic acid. MS (ESI): mass calcd. for C₁₄H₁₈F₃NO 273.1; m/z found, 274.2 [M+H]⁺.

Intermediate 31: (racemic)-(cis)-3-Methyl-4-(4-(trifluoromethoxy)phenyl)piperidine

The title compound was prepared in a manner analogous to cis-3-methyl-4-(3-(trifluoromethoxy)phenyl)piperidine (Intermediate 28) using 4-(trifluoromethoxy)phenylboronic acid instead of 3-(trifluoromethoxy)phenylboronic acid and stirring for 48 hours instead of overnight. MS (ESI): mass calcd. for C₁₃H₁₆F₃NO 259.1; m/z found, 260.0 [M+H]⁺.

Intermediate 32: (racemic)-(cis)-3-Methyl-4-(3-fluoro-4-(trifluoromethoxy)phenyl)piperidine

The title compound was prepared in a manner analogous to cis-3-methyl-4-(3-(trifluoromethoxy)phenyl)piperidine (Intermediate 28) using 3-fluoro-4-(trifluoromethoxy)phenylboronic acid instead of 3-(trifluoromethoxy)phenylboronic acid and stirring for 48 hours instead of overnight. MS (ESI): mass calcd. for C₁₃H₁₅F₄NO 277.1; m/z found, 278.2 [M+H]⁺.

Intermediate 33: (racemic)-(cis)-3-Methyl-4-(4-(trifluoromethyl)phenyl)piperidine

The title compound was prepared in a manner analogous to cis-3-methyl-4-(3-(trifluoromethoxy)phenyl)piperidine (Intermediate 28) using 4-(trifluoromethyl)phenylboronic acid instead of 3-(trifluoromethoxy)phenylboronic acid and stirring the reaction mixture in Step B for 5 days. MS (ESI): mass calcd. for C₁₃H₁₆F₃N, 243.1; m/z found, 244.1 [M+H]⁺.

Intermediate 34: (racemic)-(cis)-3-Methyl-4-(3-methyl-4-(trifluoromethyl)phenyl)piperidine

The title compound was prepared in a manner analogous to cis-3-methyl-4-(3-(trifluoromethoxy)phenyl)piperidine (Intermediate 28) using 3-methyl-4-(trifluoromethyl)phenylboronic acid instead of 3-(trifluoromethoxy)phenylboronic acid and stirring the reaction mixture in Step B for 5 days.

Example 1: (2s,4s)-2-(4-(3-(2,2,2-Trifluoroethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

In an oven-dried pressure vial, (2s,4s)-2-(4-bromopiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Intermediate 11, 31.5 mg, 0.099 mmol) was combined with 1-bromo-3-(2,2,2-trifluoroethyl)benzene (25 mg, 0.099 mmol), NiCl₂ (DME) (4.5 mg, 0.020 mmol), 1,10-phenanthroline (7.3 mg, 0.040 mmol), NaBF₄ (5.6 mg, 0.050 mmol), and Mn (11 mg, 0.200 mmol). This was taken up in anhydrous MeOH (0.5 mL) and 4-ethylpyridine (5.7 μL, 0.050 mmol) was added. The vial was capped, purged with N₂, and heated at 60° C. for 18 hours. The mixture was diluted with EtOAc, filtered through Celite®, and concentrated under reduced pressure. Purification via reverse phase HPLC (5-95% ACN in 20 mM NH₄OH in water) afforded the title compound (23 mg, 58% yield). MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₃, 396.2; m/z found, 397.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.30 (t, J=7.6 Hz, 1H), 7.16 (dd, J=7.6, 1.7 Hz, 2H), 7.10 (s, 1H), 6.22 (s, 1H), 4.81-4.71 (m, 1H), 4.38 (s, 2H), 3.89-3.78 (m, 1H), 3.34 (q, J=10.9 Hz, 2H), 3.12 (td, J=13.1, 2.5 Hz, 1H), 3.03 (p, J=8.1 Hz, 1H), 2.81-2.62 (m, 4H), 2.56-2.41 (m, 2H), 1.96-1.87 (m, 2H), 1.70-1.51 (m, 2H).

Example 2: (2s,4s)-2-(4-(3-Fluoro-5-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 1 using 1-bromo-3-fluoro-5-(trifluoromethoxy)benzene instead of 1-bromo-3-(2,2,2-trifluoroethyl)benzene. MS (ESI): mass calcd. for C₁₉H₂₀F₄N₂O₄, 416.1; m/z found, 417.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 6.88-6.79 (m, 3H), 6.03 (s, 1H), 4.82-4.74 (m, 1H), 4.38 (s, 2H), 3.89-3.79 (m, 1H), 3.17-3.07 (m, 1H), 3.03 (p, J=8.1 Hz, 1H), 2.83-2.61 (m, 4H), 2.55-2.42 (m, 2H), 1.98-1.88 (m, 2H), 1.63-1.45 (m, 2H).

Example 3: (2s,4s)-2-(4-(2-Fluoro-5-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 1 using 2-bromo-1-fluoro-4-(trifluoromethoxy)benzene instead of 1-bromo-3-(2,2,2-trifluoroethyl)benzene. MS (ESI): mass calcd. for C₁₉H₂₀F₄N₂O₄, 416.1; m/z found, 417.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.11-7.03 (m, 2H), 7.04-6.99 (m, 1H), 5.78 (s, 1H), 4.85-4.73 (m, 1H), 4.39 (s, 2H), 3.85 (d, J=13.3 Hz, 1H), 3.20-2.99 (m, 3H), 2.77-2.62 (m, 3H), 2.51 (dd, J=12.7, 8.7 Hz, 2H), 1.93 (d, J=13.3 Hz, 2H), 1.70-1.47 (m, 2H).

Example 4: (2s,4s)-2-(4-(2-Methyl-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

Step A: tert-Butyl 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidine-1-carboxylate

In an oven-dried pressure vial, N-boc-4-bromopiperidine (30 mg, 0.111 mmol) was combined with 1-bromo-2-methyl-4-(trifluoromethyl)benzene (27 mg, 0.111 mmol), NiCl₂ (DME) (2.5 mg, 0.011 mmol), 1,10-phenanthroline (4 mg, 0.022 mmol), NaBF₄ (6 mg, 0.056 mmol), and Mn (12 mg, 0.223 mmol). This was taken up in anhydrous MeOH (0.6 mL) and 4-ethylpyridine (6.4 μL, 0.056 mmol) was added. The vial was capped, purged with N₂, and heated at 60° C. for 18 hours. The mixture was diluted with EtOAc, filtered through Celite®, and concentrated under reduced pressure. Purification via FCC on silica (0-15% EtOAc in hexane) afforded the title compound (31 mg, 81% yield). MS (ESI): mass calcd. for C₁₈H₂₄F₃NO₂ 343.2; m/z found, 288.0 [M+2H−tBu]⁺.

Step B: 4-(2-Methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride

To tert-butyl 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidine-1-carboxylate (31 mg, 0.090 mmol) in MeOH (0.2 mL) was added HCl in 1,4-dioxane (4 M, 0.23 mL). This was heated to 45° C. for 1 hour before concentrating under reduced pressure. The title compound was used without further purification in the next step. MS (ESI): mass calcd. for C₁₃H₁₇ClF₃N, 279.1; m/z found, 244.1 [M−Cl]⁺.

Step C: (2s,4s)-2-(4-(2-Methyl-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride was taken up in DMF (0.6 mL) and to this was added (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3, 15 mg, 0.089 mmol), DIPEA (47 μL, 0.268 mmol), and HATU (38 mg, 0.098 mmol). This was stirred at room temperature for 16 hours. The reaction mixture was filtered through a PTFE filter with MeOH and purified via reverse phase HPLC (5-95% ACN in 20 mM NH₄OH in water) to afford the title compound (30 mg, 85% yield). MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₃, 396.2; m/z found, 397.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.45-7.38 (m, 2H), 7.22 (d, J=7.9 Hz, 1H), 6.22 (s, 1H), 4.91-4.68 (m, 1H), 4.39 (s, 2H), 3.96-3.78 (m, 1H), 3.25-2.93 (m, 3H), 2.82-2.59 (m, 3H), 2.56-2.43 (m, 2H), 2.41 (s, 3H), 1.90-1.79 (m, 2H), 1.68-1.48 (m, 2H).

Example 5: (2s,4s)-2-(4-(4-(Difluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-(difluoromethyl)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₂F₂N₂O₃, 364.2; m/z found, 365.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.49-7.42 (m, 2H), 7.31-7.26 (m, 2H), 6.78-6.46 (m, 1H), 6.15 (s, 1H), 4.82-4.73 (m, 1H), 4.38 (s, 2H), 3.89-3.78 (m, 1H), 3.19-3.08 (m, 1H), 3.08-2.97 (m, 1H), 2.87-2.75 (m, 1H), 2.75-2.62 (m, 3H), 2.56-2.42 (m, 2H), 1.98-1.87 (m, 2H), 1.69-1.47 (m, 2H).

Example 6: (2s,4s)-2-(4-(3-(Trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-3-(trifluoromethoxy)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₁F₃N₂O₄, 398.1; m/z found, 399.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.33 (t, J=7.9 Hz, 1H), 7.14-7.04 (m, 2H), 7.02 (p, J=1.5 Hz, 1H), 6.28 (s, 1H), 4.81-4.73 (m, 1H), 4.38 (s, 2H), 3.88-3.80 (m, 1H), 3.12 (td, J=13.1, 2.5 Hz, 1H), 3.02 (p, J=8.1 Hz, 1H), 2.83-2.60 (m, 4H), 2.53-2.42 (m, 2H), 1.98-1.88 (m, 2H), 1.66-1.47 (m, 2H).

Example 7: (2s,4s)-2-(4-(2-Methyl-4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepare in a manner analogous to Example 4 using 1-bromo-2-methyl-4-(trifluoromethoxy)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₄, 412.2; m/z found, 413.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.14-7.08 (m, 1H), 7.05-6.97 (m, 2H), 6.13 (s, 1H), 4.83-4.73 (m, 1H), 4.39 (s, 2H), 3.91-3.79 (m, 1H), 3.19-3.09 (m, 1H), 3.09-2.99 (m, 1H), 2.99-2.88 (m, 1H), 2.77-2.62 (m, 3H), 2.55-2.43 (m, 2H), 2.36 (s, 3H), 1.89-1.77 (m, 2H), 1.65-1.44 (m, 2H).

Example 8: (2s,4s)-2-(4-(3-Methyl-4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-2-methyl-1-(trifluoromethoxy)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₄, 412.2; m/z found, 413.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.15-7.09 (m, 1H), 7.07-7.02 (m, 1H), 7.02-6.96 (m, 1H), 6.24 (s, 1H), 4.80-4.70 (m, 1H), 4.38 (s, 2H), 3.88-3.76 (m, 1H), 3.18-2.97 (m, 2H), 2.78-2.60 (m, 4H), 2.53-2.43 (m, 2H), 2.29 (s, 3H), 1.95-1.83 (m, 2H), 1.65-1.43 (m, 2H).

Example 9: (2s,4s)-2-(4-(4-Cyclopropylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-cyclopropylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₁H₂₆N₂O₃, 354.2; m/z found, 355.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.09-6.99 (m, 4H), 4.78-4.68 (m, 1H), 4.38 (s, 2H), 3.86-3.75 (m, 1H), 3.15-2.96 (m, 2H), 2.79-2.60 (m, 4H), 2.52-2.39 (m, 2H), 1.94-1.80 (m, 3H), 1.65-1.44 (m, 2H), 0.98-0.88 (m, 2H), 0.69-0.62 (m, 2H).

Example 10: (2s,4s)-2-(4-(3-Methyl-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-2-methylbenzotrifluoride instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₃, 396.2; m/z found, 397.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.53 (d, J=8.0 Hz, 1H), 7.10-7.03 (m, 2H), 4.82-4.71 (m, 1H), 4.38 (s, 2H), 3.89-3.80 (m, 1H), 3.18-3.07 (m, 1H), 3.07-2.96 (m, 1H), 2.83-2.62 (m, 4H), 2.53-2.40 (m, 5H), 1.95-1.85 (m, 2H), 1.67-1.46 (m, 2H).

Example 11: (2s,4s)-2-(4-(4-Isopropylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-isopropylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₁H₂₈N₂O₃, 356.2; m/z found, 357.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.20-7.13 (m, 2H), 7.12-7.06 (m, 2H), 6.38 (s, 1H), 4.79-4.68 (m, 1H), 4.39 (s, 2H), 3.87-3.73 (m, 1H), 3.17-3.06 (m, 1H), 3.06-2.96 (m, 1H), 2.93-2.81 (m, 1H), 2.79-2.61 (m, 4H), 2.53-2.40 (m, 2H), 1.98-1.83 (m, 2H), 1.66-1.46 (m, 2H), 1.23 (d, J=6.9 Hz, 6H).

Example 12: (2s,4s)-2-(4-(4-(Difluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-(difluoromethoxy)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₂F₂N₂O₄, 380.2; m/z found, 381.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.20-7.13 (m, 2H), 7.10-7.04 (m, 2H), 6.48 (t, J=74.0 Hz, 1H), 5.80 (s, 1H), 4.81-4.71 (m, 1H), 4.38 (s, 2H), 3.87-3.77 (m, 1H), 3.17-2.98 (m, 2H), 2.81-2.60 (m, 4H), 2.55-2.44 (m, 2H), 1.96-1.85 (m, 2H), 1.65-1.45 (m, 2H).

Example 13: (2s,4s)-2-(4-(4-Methyl-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 5-bromo-2-methylbenzotrifluoride instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₃, 396.2; m/z found, 397.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.40 (s, 1H), 7.23 (d, J=1.2 Hz, 2H), 6.15 (s, 1H), 4.83-4.69 (m, 1H), 4.38 (s, 2H), 3.89-3.78 (m, 1H), 3.19-3.08 (m, 1H), 3.08-2.97 (m, 1H), 2.83-2.61 (m, 4H), 2.53-2.40 (m, 5H), 1.95-1.86 (m, 2H), 1.66-1.45 (m, 2H).

Example 14: (2s,4s)-2-(4-(3-(tert-Butyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-3-tert-butylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₂H₃₀N₂O₃, 370.2; m/z found, 371.1 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.28-7.23 (m, 2H), 7.21-7.18 (m, 1H), 7.02-6.97 (m, 1H), 5.93 (s, 1H), 4.81-4.73 (m, 1H), 4.39 (s, 2H), 3.86-3.79 (m, 1H), 3.18-3.09 (m, 1H), 3.09-2.99 (m, 1H), 2.79-2.61 (m, 4H), 2.54-2.45 (m, 2H), 1.97-1.89 (m, 2H), 1.68-1.50 (m, 2H), 1.32 (s, 9H).

Example 15: (2s,4s)-2-(4-(3-Isopropylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-3-isopropylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₁H₂₈N₂O₃, 356.2; m/z found, 357.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.26-7.21 (m, 1H), 7.10 (dt, J=7.6, 1.4 Hz, 1H), 7.03 (q, J=1.9 Hz, 1H), 6.99 (dt, J=7.6, 1.5 Hz, 1H), 6.16 (s, 1H), 4.82-4.73 (m, 1H), 4.39 (s, 2H), 3.83 (dq, J=11.4, 2.3 Hz, 1H), 3.12 (td, J=13.1, 2.5 Hz, 1H), 3.03 (q, J=8.1 Hz, 1H), 2.88 (hept, J=6.9 Hz, 1H), 2.78-2.62 (m, 4H), 2.54-2.44 (m, 2H), 1.96-1.87 (m, 2H), 1.70-1.51 (m, 2H), 1.24 (d, J=6.9 Hz, 6H).

Example 16: (2r,4s)-2-(4-(4-Methyl-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 5-bromo-2-methylbenzotrifluoride instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₁H₂₅F₃N₂O₂, 394.2; m/z found, 395.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.40 (s, 1H), 7.25-7.19 (m, 2H), 6.04 (s, 1H), 4.83-4.70 (m, 1H), 3.90-3.79 (m, 1H), 3.16-2.97 (m, 2H), 2.82-2.71 (m, 1H), 2.71-2.48 (m, 3H), 2.48-2.42 (m, 3H), 2.42-2.30 (m, 4H), 2.28-2.18 (m, 2H), 1.95-1.84 (m, 2H), 1.66-1.46 (m, 2H).

Example 17: (2r,4s)-2-(4-(4-Cyclopropylphenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-cyclopropylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₂H₂₈N₂O₂, 352.2; m/z found, 353.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.09-7.04 (m, 2H), 7.04-6.99 (m, 2H), 6.13 (s, 1H), 4.80-4.66 (m, 1H), 3.89-3.77 (m, 1H), 3.14-2.96 (m, 2H), 2.76-2.48 (m, 4H), 2.42-2.31 (m, 4H), 2.27-2.17 (m, 2H), 1.93-1.81 (m, 3H), 1.67-1.44 (m, 2H), 0.99-0.88 (m, 2H), 0.71-0.60 (m, 2H).

Example 18: (2r,4s)-2-(4-(3-Methyl-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-2-methylbenzotrifluoride instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₁H₂₅F₃N₂O₂, 394.2; m/z found, 395.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.53 (d, J=7.9 Hz, 1H), 7.10-7.03 (m, 2H), 6.18 (s, 1H), 4.83-4.70 (m, 1H), 3.92-3.79 (m, 1H), 3.17-2.95 (m, 2H), 2.81-2.70 (m, 1H), 2.70-2.49 (m, 3H), 2.50-2.44 (m, 3H), 2.44-2.31 (m, 4H), 2.27-2.19 (m, 2H), 1.94-1.83 (m, 2H), 1.68-1.48 (m, 2H).

Example 19: (2s,4s)-2-(4-(2-Fluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-3-fluorotoluene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₃FN₂O₃, 346.2; m/z found, 347.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.05-6.98 (m, 1H), 6.92-6.88 (m, 1H), 6.88-6.81 (m, 1H), 6.04 (s, 1H), 4.80-4.70 (m, 1H), 4.38 (s, 2H), 3.86-3.75 (m, 1H), 3.19-3.09 (m, 1H), 3.09-2.95 (m, 2H), 2.76-2.60 (m, 3H), 2.54-2.41 (m, 2H), 2.31 (s, 3H), 1.94-1.81 (m, 2H), 1.68-1.48 (m, 2H).

Example 20: (2s,4s)-2-(4-(4-(2,2,2-Trifluoroethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-(2,2,2-trifluoroethyl)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₃, 396.2; m/z found, 397.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.26-7.21 (m, 2H), 7.19-7.14 (m, 2H), 5.78 (s, 1H), 4.81-4.72 (m, 1H), 4.38 (s, 2H), 3.88-3.78 (m, 1H), 3.41-3.28 (m, 2H), 3.17-2.99 (m, 2H), 2.82-2.59 (m, 4H), 2.57-2.43 (m, 2H), 1.97-1.88 (m, 2H), 1.68-1.47 (m, 2H).

Example 21: (2s,4s)-2-(4-(3-Fluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-2-fluorotoluene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₃FN₂O₃, 346.2; m/z found, 347.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.14-7.07 (m, 1H), 6.87-6.79 (m, 2H), 4.79-4.70 (m, 1H), 4.38 (s, 2H), 3.86-3.76 (m, 1H), 3.17-2.97 (m, 2H), 2.77-2.61 (m, 4H), 2.53-2.43 (m, 2H), 2.23 (d, J=1.9 Hz, 3H), 1.94-1.85 (m, 2H), 1.62-1.43 (m, 2H).

Example 22: (2r,4s)-2-(4-(3-(tert-Butyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-3-tert-butylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₃H₃₂N₂O₂, 368.2; m/z found, 369.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.26-7.22 (m, 2H), 7.20 (p, J=1.4 Hz, 1H), 7.02-6.96 (m, 1H), 6.06 (s, 1H), 4.81-4.70 (m, 1H), 3.90-3.79 (m, 1H), 3.14-2.98 (m, 2H), 2.81-2.48 (m, 4H), 2.44-2.32 (m, 4H), 2.28-2.19 (m, 2H), 1.97-1.86 (m, 2H), 1.69-1.50 (m, 2H), 1.31 (s, 9H).

Example 23: (2s,4s)-2-(4-(3-Cyclopropylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-3-cyclopropylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₁H₂₆N₂O₃, 354.2; m/z found, 355.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.22-7.15 (m, 1H), 6.98-6.92 (m, 1H), 6.92-6.88 (m, 2H), 6.28 (s, 1H), 4.80-4.70 (m, 1H), 4.39 (s, 2H), 3.87-3.77 (m, 1H), 3.17-3.06 (m, 1H), 3.06-2.97 (m, 1H), 2.77-2.60 (m, 4H), 2.52-2.42 (m, 2H), 1.95-1.83 (m, 3H), 1.68-1.46 (m, 2H), 1.00-0.91 (m, 2H), 0.73-0.62 (m, 2H).

Example 24: (2s,4s)-2-(4-(2,2-Difluorobenzo[d][1,3]dioxol-5-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 5-bromo-2,2-difluoro-1,3-benzodioxole instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₀F₂N₂O₅, 394.1; m/z found, 395.0 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.00-6.95 (m, 1H), 6.90-6.83 (m, 2H), 6.33 (s, 1H), 4.82-4.70 (m, 1H), 4.38 (s, 2H), 3.89-3.78 (m, 1H), 3.17-3.07 (m, 1H), 3.07-2.95 (m, 1H), 2.80-2.59 (m, 4H), 2.54-2.39 (m, 2H), 1.96-1.85 (m, 2H), 1.62-1.42 (m, 2H).

Example 25: (2s,4s)-2-(4-(4-Cyclobutylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-cyclobutylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₂H₂₈N₂O₃, 368.2; m/z found, 369.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.21-7.14 (m, 2H), 7.14-7.07 (m, 2H), 6.06 (s, 1H), 4.80-4.69 (m, 1H), 4.38 (s, 2H), 3.86-3.77 (m, 1H), 3.51 (p, J=8.6 Hz, 1H), 3.18-2.97 (m, 2H), 2.79-2.60 (m, 4H), 2.55-2.41 (m, 2H), 2.38-2.27 (m, 2H), 2.20-1.78 (m, 6H), 1.66-1.47 (m, 2H).

Example 26: (2s,4s)-2-(4-(3-(1,1-Difluoroethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-3-(1,1-difluoroethyl)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₄F₂N₂O₃, 378.2; m/z found, 379.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.40-7.33 (m, 2H), 7.32 (s, 1H), 7.26-7.20 (m, 1H), 6.18 (s, 1H), 4.81-4.73 (m, 1H), 4.38 (s, 2H), 3.88-3.80 (m, 1H), 3.13 (td, J=13.1, 2.5 Hz, 1H), 3.03 (p, J=8.1 Hz, 1H), 2.85-2.62 (m, 4H), 2.54-2.43 (m, 2H), 1.98-1.84 (m, 5H), 1.69-1.50 (m, 2H).

Example 27: (2s,4s)-2-(4-(4-(1-Methylcyclopropyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-(1-methylcyclopropyl)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₂H₂₈N₂O₃, 368.2; m/z found, 369.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.22-7.16 (m, 2H), 7.11-7.05 (m, 2H), 6.12 (s, 1H), 4.80-4.68 (m, 1H), 4.38 (s, 2H), 3.86-3.75 (m, 1H), 3.17-2.98 (m, 2H), 2.77-2.61 (m, 4H), 2.53-2.43 (m, 2H), 1.95-1.85 (m, 2H), 1.65-1.46 (m, 2H), 1.39 (s, 3H), 0.86-0.81 (m, 2H), 0.74-0.69 (m, 2H).

Example 28: (2s,4s)-2-(4-(4-(1,1-Difluoroethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-(1,1-difluoroethyl)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₄F₂N₂O₃, 378.2; m/z found, 360.2 [M+H−F]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.45 (d, J=8.3 Hz, 2H), 7.23 (d, J=8.1 Hz, 2H), 6.06 (s, 1H), 4.83-4.72 (m, 1H), 4.38 (s, 2H), 3.88-3.79 (m, 1H), 3.13 (td, J=13.1, 2.5 Hz, 1H), 3.04 (p, J=8.1 Hz, 1H), 2.84-2.61 (m, 4H), 2.55-2.44 (m, 2H), 1.97-1.85 (m, 5H), 1.67-1.49 (m, 2H).

Example 29: (2s,4s)-2-(4-(3-Fluoro-5-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 3-bromo-5-fluorotoluene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₃FN₂O₃, 346.2; m/z found, 347.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 6.79-6.73 (m, 1H), 6.72 (dt, J=9.6, 2.0 Hz, 1H), 6.66 (dt, J=9.9, 2.0 Hz, 1H), 6.44 (s, 1H), 4.78-4.70 (m, 1H), 4.38 (s, 2H), 3.86-3.78 (m, 1H), 3.16-2.95 (m, 2H), 2.79-2.60 (m, 4H), 2.53-2.40 (m, 2H), 2.32 (s, 3H), 1.97-1.84 (m, 2H), 1.62-1.44 (m, 2H).

Example 30: (2s,4s)-2-(4-(2,3-Difluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-2,3-difluoro-4-methylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₂F₂N₂O₃, 364.2; m/z found, 365.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 6.91-6.84 (m, 1H), 6.81-6.74 (m, 1H), 5.96 (s, 1H), 4.80-4.72 (m, 1H), 4.38 (s, 2H), 3.85-3.76 (m, 1H), 3.19-2.96 (m, 3H), 2.76-2.62 (m, 3H), 2.55-2.43 (m, 2H), 2.31-2.22 (m, 3H), 1.94-1.83 (m, 2H), 1.69-1.48 (m, 2H).

Example 31: (2s,4s)-2-(4-(2,5-Difluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-2,5-difluoro-4-methylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₂F₂N₂O₃, 364.2; m/z found, 365.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 6.88-6.80 (m, 1H), 6.78 (dd, J=10.1, 6.1 Hz, 1H), 5.88 (s, 1H), 4.81-4.70 (m, 1H), 4.38 (s, 2H), 3.86-3.76 (m, 1H), 3.13 (td, J=13.2, 2.6 Hz, 1H), 3.08-2.97 (m, 2H), 2.76-2.58 (m, 3H), 2.55-2.43 (m, 2H), 2.22 (d, J=1.9 Hz, 3H), 1.93-1.83 (m, 2H), 1.59-1.42 (m, 2H).

Example 32: (2r,4s)-2-(4-(4-Isopropylphenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-isopropylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₂H₃₀N₂O₂, 354.2; m/z found, 355.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.19-7.13 (m, 2H), 7.13-7.06 (m, 2H), 6.04 (s, 1H), 4.78-4.70 (m, 1H), 3.88-3.79 (m, 1H), 3.14-2.98 (m, 2H), 2.89 (dq, J=13.8, 6.8 Hz, 1H), 2.77-2.50 (m, 4H), 2.43-2.33 (m, 4H), 2.27-2.19 (m, 2H), 1.95-1.84 (m, 2H), 1.66-1.47 (m, 2H), 1.24 (d, J=6.9 Hz, 6H).

Example 33: (2s,4s)-2-(4-(2-Fluoro-5-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 3-bromo-4-fluorotoluene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₃FN₂O₃, 346.2; m/z found, 347.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.01-6.85 (m, 3H), 6.02 (s, 1H), 4.80-4.72 (m, 1H), 4.38 (s, 2H), 3.86-3.77 (m, 1H), 3.14 (td, J=13.2, 2.6 Hz, 1H), 3.09-2.98 (m, 2H), 2.74-2.63 (m, 3H), 2.56-2.44 (m, 2H), 2.29 (s, 3H), 1.93-1.83 (m, 2H), 1.71-1.49 (m, 2H).

Example 34: (2s,4s)-2-(4-(3,4-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-o-xylene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₆N₂O₃, 342.2; m/z found, 343.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.07 (d, J=7.7 Hz, 1H), 6.95 (d, J=1.9 Hz, 1H), 6.91 (dd, J=7.7, 2.0 Hz, 1H), 6.42 (d, J=47.7 Hz, 1H), 4.79-4.69 (m, 1H), 4.39 (s, 2H), 3.88-3.77 (m, 1H), 3.10 (td, J=13.9, 13.5, 2.8 Hz, 1H), 3.01 (q, J=8.3 Hz, 1H), 2.76-2.62 (m, 4H), 2.52-2.42 (m, 2H), 2.24 (s, 3H), 2.23 (s, 3H), 1.93-1.84 (m, 2H), 1.66-1.47 (m, 2H).

Example 35: (2s,4s)-2-(4-(2,3-Dihydro-1H-inden-5-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepare in a manner analogous to Example 4 using 5-bromo-2,3-dihydro-1H-indene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₁H₂₆N₂O₃, 354.2; m/z found, 355.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.16 (d, J=7.7 Hz, 1H), 7.05 (s, 1H), 6.95 (dd, J=7.7, 1.7 Hz, 1H), 6.11 (s, 1H), 4.79-4.71 (m, 1H), 4.38 (s, 2H), 3.86-3.78 (m, 1H), 3.16-2.95 (m, 2H), 2.92-2.83 (m, 4H), 2.77-2.62 (m, 4H), 2.53-2.43 (m, 2H), 2.07 (p, J=7.4 Hz, 2H), 1.96-1.85 (m, 2H), 1.67-1.48 (m, 2H).

Example 36: (2s,4s)-2-(4-(3-Chloro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-2-chlorotoluene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₃ClN₂O₃, 362.1; m/z found, 363.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.19-7.12 (m, 2H), 6.96 (dd, J=7.9, 1.8 Hz, 1H), 6.06 (s, 1H), 4.79-4.71 (m, 1H), 4.38 (s, 2H), 3.86-3.76 (m, 1H), 3.15-2.97 (m, 2H), 2.75-2.61 (m, 4H), 2.53-2.42 (m, 2H), 2.33 (s, 3H), 1.94-1.84 (m, 2H), 1.63-1.44 (m, 2H).

Example 37: (2s,4s)-2-(4-(2-Fluoro-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-2-fluorotoluene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₃FN₂O₃, 346.2; m/z found, 347.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.10-7.00 (m, 1H), 7.01-6.93 (m, 2H), 5.98 (s, 1H), 4.80-4.70 (m, 1H), 4.38 (s, 2H), 3.87-3.74 (m, 1H), 3.20-2.96 (m, 3H), 2.75-2.61 (m, 3H), 2.53-2.42 (m, 2H), 2.26 (d, J=2.3 Hz, 3H), 1.96-1.82 (m, 2H), 1.65-1.47 (m, 2H).

Example 38: (2s,4s)-2-(4-(3-Isopropoxyphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-3-isopropoxybenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₁H₂₈N₂O₄, 372.2; m/z found, 373.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.20 (t, J=7.9 Hz, 1H), 6.76-6.66 (m, 3H), 6.39 (s, 1H), 4.77-4.70 (m, 1H), 4.53 (hept, J=6.0 Hz, 1H), 4.38 (s, 2H), 3.85-3.77 (m, 1H), 3.10 (td, J=13.1, 2.5 Hz, 1H), 3.01 (p, J=8.2 Hz, 1H), 2.78-2.58 (m, 4H), 2.52-2.41 (m, 2H), 1.96-1.89 (m, 2H), 1.65-1.46 (m, 2H), 1.32 (d, J=6.1 Hz, 6H).

Example 39: (2r,4s)-2-(4-(4-(1-Methylcyclopropyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-(1-methylcyclopropyl)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₃H₃₀N₂O₂, 366.2; m/z found, 367.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.21-7.16 (m, 2H), 7.11-7.05 (m, 2H), 6.02 (s, 1H), 63.14-2.98 (m, 2H), 2.76-2.48 (m, 4H), 2.43-2.32 (m, 4H), 2.27-2.19 (m, 2H), 1.88 (dt, J=13.4, 3.3 Hz, 2H), 1.65-1.46 (m, 2H), 1.39 (s, 3H), 0.86-0.80 (m, 2H), 0.74-0.67 (m, 2H).

Example 40: (2s,4s)-2-(4-(3-(1-Methylcyclopropyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-3-(1-methylcyclopropyl)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₂H₂₈N₂O₃, 368.2; m/z found, 369.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.22 (t, J=7.6 Hz, 1H), 7.13-7.09 (m, 1H), 7.07 (t, J=1.9 Hz, 1H), 6.97 (dt, J=7.6, 1.5 Hz, 1H), 6.19 (s, 1H), 4.79-4.72 (m, 1H), 4.39 (s, 2H), 3.87-3.79 (m, 1H), 3.11 (td, J=13.3, 2.6 Hz, 1H), 3.03 (q, J=8.2 Hz, 1H), 2.78-2.61 (m, 4H), 2.54-2.42 (m, 2H), 1.98-1.86 (m, 2H), 1.67-1.48 (m, 2H), 1.39 (s, 3H), 0.87-0.81 (m, 2H), 0.75-0.69 (m, 2H).

Example 41: (2r,4s)-2-(4-(3-(1-Methylcyclopropyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-3-(1-methylcyclopropyl)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₃H₃₀N₂O₂, 366.2; m/z found, 367.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.22 (t, J=7.6 Hz, 1H), 7.11 (dt, J=7.7, 1.5 Hz, 1H), 7.07 (t, J=1.9 Hz, 1H), 6.97 (dt, J=7.6, 1.5 Hz, 1H), 6.13-5.97 (m, 1H), 4.80-4.71 (m, 1H), 3.89-3.80 (m, 1H), 3.16-2.98 (m, 2H), 2.78-2.47 (m, 4H), 2.44-2.32 (m, 4H), 2.28-2.19 (m, 2H), 1.95-1.85 (m, 2H), 1.67-1.48 (m, 2H), 1.39 (s, 3H), 0.88-0.80 (m, 2H), 0.75-0.68 (m, 2H).

Example 42: (2s,4s)-2-(4-(1H-Inden-5-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-1H-indene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₁H₂₄N₂O₃, 352.2; m/z found, 353.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.37 (dd, J=29.1, 7.7 Hz, 1H), 7.27 (dd, J=29.3, 1.6 Hz, 1H), 7.11-6.99 (m, 1H), 6.89-6.81 (m, 1H), 6.59-6.51 (m, 1H), 5.91 (s, 1H), 4.82-4.72 (m, 1H), 4.39 (s, 2H), 3.87-3.78 (m, 1H), 3.40-3.34 (m, 2H), 3.19-2.98 (m, 2H), 2.79 (td, J=12.0, 2.8 Hz, 1H), 2.76-2.62 (m, 3H), 2.55-2.45 (m, 2H), 1.99-1.88 (m, 2H), 1.74-1.50 (m, 2H).

Example 43: (2s,4s)-2-(4-(2,3-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 3-bromo-o-xylene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₆N₂O₃, 342.2; m/z found, 343.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.12-7.06 (m, 1H), 7.06-7.02 (m, 1H), 6.99 (dd, J=7.5, 1.7 Hz, 1H), 5.89 (s, 1H), 4.82-4.73 (m, 1H), 4.38 (s, 2H), 3.88-3.79 (m, 1H), 3.15 (td, J=13.1, 2.5 Hz, 1H), 3.09-2.96 (m, 2H), 2.75-2.61 (m, 3H), 2.54-2.43 (m, 2H), 2.30 (s, 3H), 2.25 (s, 3H), 1.90-1.79 (m, 2H), 1.67-1.47 (m, 2H).

Example 44: (2s,4s)-2-(4-(4-Fluoro-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 5-bromo-2-fluorotoluene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₃FN₂O₃, 346.2; m/z found, 347.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.00-6.95 (m, 1H), 6.95-6.89 (m, 2H), 5.97 (s, 1H), 4.79-4.71 (m, 1H), 4.38 (s, 2H), 3.86-3.77 (m, 1H), 3.16-2.96 (m, 2H), 2.75-2.60 (m, 4H), 2.54-2.44 (m, 2H), 2.27-2.21 (m, 3H), 1.93-1.83 (m, 2H), 1.62-1.43 (m, 2H).

Example 45: (2s,4s)-2-(4-(6-(tert-Butyl)pyridin-3-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 5-bromo-2-tert-butylpyridine instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₁H₂₉N₃O₃, 371.2; m/z found, 372.2 [M+H]⁺. ¹H NMR (400 MHz, Methanol-d4) δ 8.36-8.31 (m, 1H), 7.63 (dd, J=8.3, 2.4 Hz, 1H), 7.41 (dd, J=8.2, 0.8 Hz, 1H), 4.69-4.61 (m, 1H), 4.49 (s, 2H), 4.04-3.96 (m, 1H), 3.23-3.09 (m, 2H), 2.88 (tt, J=12.2, 3.7 Hz, 1H), 2.76 (td, J=12.9, 2.8 Hz, 1H), 2.65-2.52 (m, 2H), 2.52-2.42 (m, 2H), 1.95-1.83 (m, 2H), 1.66-1.51 (m, 2H), 1.34 (s, 9H).

Example 46: (2s,4s)-2-(4-(2-Chlorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-2-chlorobenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₈H₂₁ClN₂O₃, 348.1; m/z found, 349.0 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.36 (dd, J=7.8, 1.4 Hz, 1H), 7.25-7.20 (m, 1H), 7.20-7.12 (m, 2H), 6.10 (s, 1H), 4.82-4.75 (m, 1H), 4.39 (s, 2H), 3.87-3.80 (m, 1H), 3.27 (tt, J=12.1, 3.5 Hz, 1H), 3.17 (td, J=13.1, 2.6 Hz, 1H), 3.04 (p, J=8.1 Hz, 1H), 2.78-2.63 (m, 3H), 2.54-2.45 (m, 2H), 2.00-1.87 (m, 2H), 1.59 (qd, J=12.6, 4.2 Hz, 1H), 1.48 (qd, J=12.6, 4.2 Hz, 1H).

Example 47: (2s,4s)-2-(4-(2,4-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-m-xylene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₆N₂O₃, 342.2; m/z found, 343.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.03-6.96 (m, 3H), 5.83 (s, 1H), 4.81-4.72 (m, 1H), 4.38 (s, 2H), 3.87-3.77 (m, 1H), 3.17-2.99 (m, 2H), 2.92 (tt, J=12.1, 3.5 Hz, 1H), 2.76-2.60 (m, 3H), 2.55-2.44 (m, 2H), 2.32 (s, 3H), 2.29 (s, 3H), 1.86-1.77 (m, 2H), 1.65-1.46 (m, 2H).

Example 48: (2s,4s)-2-(4-(4-Phenoxyphenyl)piperidine-1-carbonyl-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromodiphenyl ether instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₄H₂₆N₂O₄, 406.2; m/z found, 407.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.36-7.29 (m, 2H), 7.16-7.05 (m, 3H), 7.02-6.92 (m, 4H), 5.78 (s, 1H), 4.81-4.70 (m, 1H), 4.38 (s, 2H), 3.87-3.76 (m, 1H), 3.18-2.97 (m, 2H), 2.81-2.59 (m, 4H), 2.56-2.42 (m, 2H), 1.98-1.85 (m, 2H), 1.65-1.43 (m, 2H).

Example 49: (2s,4s)-2-(4-(3-Methoxy-4-(trifluoromethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-2-methoxy-1-(trifluoromethyl)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₄, 412.2; m/z found, 413.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.49 (d, J=7.9 Hz, 1H), 6.85-6.76 (m, 2H), 6.00 (s, 1H), 4.84-4.71 (m, 1H), 4.38 (s, 2H), 3.90 (s, 3H), 3.89-3.79 (m, 1H), 3.13 (td, J=13.1, 2.5 Hz, 1H), 3.04 (p, J=8.0 Hz, 1H), 2.85-2.59 (m, 4H), 2.56-2.42 (m, 2H), 1.98-1.88 (m, 2H), 1.64-1.45 (m, 2H).

Example 50: (2s,4s)-2-(4-(2-Cyclopropylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-2-cyclopropylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₁H₂₆N₂O₃, 354.2; m/z found, 355.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.21-7.10 (m, 3H), 7.05 (dd, J=7.8, 1.9 Hz, 1H), 6.12 (s, 1H), 4.84-4.76 (m, 1H), 4.39 (s, 2H), 3.91-3.80 (m, 1H), 3.43 (tt, J=12.1, 3.5 Hz, 1H), 3.16 (td, J=13.1, 2.5 Hz, 1H), 3.05 (p, J=8.1 Hz, 1H), 2.80-2.63 (m, 3H), 2.54-2.44 (m, 2H), 2.01-1.84 (m, 3H), 1.69-1.51 (m, 2H), 0.99-0.89 (m, 2H), 0.71-0.60 (m, 2H).

Example 51: (2r,4s)-2-(4-(4-Phenoxyphenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromodiphenyl ether instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₅H₂₈N₂O₃, 404.2; m/z found, 405.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.36-7.29 (m, 2H), 7.16-7.12 (m, 2H), 7.12-7.07 (m, 1H), 7.02-6.98 (m, 2H), 6.98-6.91 (m, 2H), 5.91 (s, 1H), 4.81-4.71 (m, 1H), 3.91-3.79 (m, 1H), 3.16-2.98 (m, 2H), 2.79-2.62 (m, 2H), 2.62-2.48 (m, 2H), 2.45-2.32 (m, 4H), 2.27-2.19 (m, 2H), 1.96-1.86 (m, 2H), 1.61-1.45 (m, 2H).

Example 52: (2s,4s)-2-(4-(2-Methyl-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 3-bromo-2-methylbenzotrifluoride instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₃, 396.2; m/z found, 397.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.51 (dd, J=7.8, 1.4 Hz, 1H), 7.32 (dd, J=8.0, 1.4 Hz, 1H), 7.26 (d, J=15.6 Hz, 1H), 6.22 (s, 1H), 4.84-4.76 (m, 1H), 4.39 (s, 2H), 3.91-3.82 (m, 1H), 3.21-2.98 (m, 3H), 2.77-2.64 (m, 3H), 2.54-2.46 (m, 2H), 2.44 (d, J=1.6 Hz, 3H), 1.89-1.79 (m, 2H), 1.67-1.48 (m, 2H).

Example 53: (2s,4s)-2-(4-(3-Phenoxyphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-3-phenoxybenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₄H₂₆N₂O₄, 406.2; m/z found, 407.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.37-7.29 (m, 2H), 7.29-7.23 (m, 1H), 7.13-7.07 (m, 1H), 7.02-6.96 (m, 2H), 6.92 (dt, J=7.8, 1.3 Hz, 1H), 6.88-6.82 (m, 2H), 5.86 (s, 1H), 4.79-4.68 (m, 1H), 4.37 (s, 2H), 3.86-3.75 (m, 1H), 3.15-2.97 (m, 2H), 2.79-2.59 (m, 4H), 2.54-2.42 (m, 2H), 1.97-1.87 (m, 2H), 1.62-1.46 (m, 2H).

Example 54: (2s,4s)-2-(4-(4-Chloro-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 5-bromo-2-chlorotoluene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₃ClN₂O₃, 362.1; m/z found, 363.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.26 (d, J=8.2 Hz, 1H), 7.03 (d, J=2.2 Hz, 1H), 6.93 (dd, J=8.2, 2.3 Hz, 1H), 6.05 (s, 1H), 4.79-4.71 (m, 1H), 4.38 (s, 2H), 3.86-3.75 (m, 1H), 3.16-2.94 (m, 2H), 2.75-2.60 (m, 4H), 2.54-2.43 (m, 2H), 2.35 (s, 3H), 1.88 (dq, J=12.9, 2.2 Hz, 2H), 1.63-1.44 (m, 2H).

Example 55: (2s,4s)-2-(4-(2-Methoxy-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-3-methoxybenzotrifluoride instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₄, 412.2; m/z found, 413.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.19 (d, J=1.1 Hz, 2H), 7.06 (s, 1H), 6.01 (s, 1H), 4.80-4.73 (m, 1H), 4.38 (s, 2H), 3.88 (s, 3H), 3.85-3.76 (m, 1H), 3.27-3.10 (m, 2H), 3.04 (p, J=8.1 Hz, 1H), 2.75-2.62 (m, 3H), 2.55-2.44 (m, 2H), 1.95-1.83 (m, 2H), 1.63-1.44 (m, 2H).

Example 56: (2s,4s)-2-(4-(2-(Trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-2-(trifluoromethoxy)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₁F₃N₂O₄, 398.1; m/z found, 399.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.30-7.20 (m, 4H), 5.92 (s, 1H), 4.82-4.74 (m, 1H), 4.38 (s, 2H), 3.87-3.78 (m, 1H), 3.22-3.10 (m, 2H), 3.11-2.99 (m, 1H), 2.76-2.62 (m, 3H), 2.56-2.44 (m, 2H), 1.92-1.81 (m, 2H), 1.62-1.44 (m, 2H).

Example 57: (2s,4s)-2-(4-([1,1′-Biphenyl]-3-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 3-bromobiphenyl instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₄H₂₆N₂O₃, 390.2; m/z found, 391.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.60-7.54 (m, 2H), 7.48-7.32 (m, 6H), 7.17 (dt, J=7.5, 1.5 Hz, 1H), 5.82 (s, 1H), 4.83-4.74 (m, 1H), 4.38 (s, 2H), 3.84 (d, J=13.4 Hz, 1H), 3.20-3.10 (m, 1H), 3.10-2.99 (m, 1H), 2.83 (tt, J=12.2, 3.6 Hz, 1H), 2.76-2.60 (m, 3H), 2.58-2.44 (m, 2H), 1.98 (dd, J=14.3, 3.8 Hz, 2H), 1.76-1.54 (m, 2H).

Example 58: (2s,4s)-2-(4-(4-Methoxy-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-2-(trifluoromethoxy)anisole instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₅, 428.2; m/z found, 429.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.09-7.01 (m, 2H), 6.93 (d, J=8.4 Hz, 1H), 6.11 (s, 1H), 4.79-4.70 (m, 1H), 4.38 (s, 2H), 3.87-3.79 (m, 4H), 3.17-2.96 (m, 2H), 2.75-2.61 (m, 4H), 2.54-2.41 (m, 2H), 1.90 (dq, J=12.8, 2.1 Hz, 2H), 1.61-1.39 (m, 2H).

Example 59: (2s,4s)-2-(4-(4-(Pyridin-2-yloxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 2-(4-bromophenoxy)pyridine instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₃H₂₅N₃O₄, 407.2; m/z found, 408.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 8.21-8.17 (m, 1H), 7.71-7.65 (m, 1H), 7.23-7.15 (m, 2H), 7.12-7.05 (m, 2H), 7.01-6.96 (m, 1H), 6.91 (dt, J=8.3, 0.9 Hz, 1H), 5.78 (s, 1H), 4.77 (d, J=13.6 Hz, 1H), 4.38 (s, 2H), 3.83 (d, J=13.3 Hz, 1H), 3.18-2.99 (m, 2H), 2.83-2.59 (m, 4H), 2.56-2.43 (m, 2H), 1.94 (d, J=13.2 Hz, 2H), 1.70-1.46 (m, 2H).

Example 60: (2s,4s)-2-(4-(4-Chloro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 5-bromo-2-chloro-1-(trifluoromethoxy)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₀ClF₃N₂O₄, 432.1; m/z found, 433.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.41 (d, J=8.3 Hz, 1H), 7.16-7.09 (m, 1H), 7.07 (dd, J=8.4, 2.0 Hz, 1H), 6.06 (s, 1H), 4.82-4.73 (m, 1H), 4.38 (s, 2H), 3.89-3.79 (m, 1H), 3.17-3.07 (m, 1H), 3.03 (p, J=8.1 Hz, 1H), 2.82-2.60 (m, 4H), 2.53-2.43 (m, 2H), 1.92 (dq, J=12.8, 2.2 Hz, 2H), 1.63-1.43 (m, 2H).

Example 61: (2s,4s)-2-(4-(4-Fluoro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-1-fluoro-2-(trifluoromethoxy)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₀F₄N₂O₄, 416.1; m/z found, 417.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.18-7.06 (m, 3H), 5.94 (s, 1H), 4.81-4.72 (m, 1H), 4.38 (s, 2H), 3.88-3.78 (m, 1H), 3.12 (td, J=13.1, 2.5 Hz, 1H), 3.08-2.97 (m, 1H), 2.80-2.57 (m, 4H), 2.55-2.42 (m, 2H), 1.96-1.88 (m, 2H), 1.62-1.43 (m, 2H).

Example 62: (2s,4s)-2-(4-(2-Chloro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-2-chloro-3-(trifluoromethoxy)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₀ClF₃N₂O₄, 432.1; m/z found, 433.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.27 (d, J=7.9 Hz, 1H), 7.22 (dp, J=8.0, 1.4 Hz, 1H), 7.14 (dd, J=7.6, 1.7 Hz, 1H), 6.05 (s, 1H), 4.84-4.77 (m, 1H), 4.38 (s, 2H), 3.90-3.79 (m, 1H), 3.33 (tt, J=12.1, 3.4 Hz, 1H), 3.18 (td, J=13.0, 2.5 Hz, 1H), 3.04 (p, J=8.1 Hz, 1H), 2.77-2.62 (m, 3H), 2.55-2.43 (m, 2H), 2.00-1.89 (m, 2H), 1.59 (qd, J=12.7, 4.3 Hz, 1H), 1.47 (qd, J=12.6, 4.1 Hz, 1H).

Example 63: (2s,4s)-2-(4-(2-Methyl-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 2-bromo-6-(trifluoromethoxy)toluene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₄, 412.2; m/z found, 413.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.19 (t, J=7.9 Hz, 1H), 7.13-7.04 (m, 2H), 5.98 (s, 1H), 4.80 (dt, J=14.2, 2.7 Hz, 1H), 4.39 (s, 2H), 3.90-3.79 (m, 1H), 3.15 (td, J=13.1, 2.4 Hz, 1H), 3.10-2.94 (m, 2H), 2.75-2.62 (m, 3H), 2.55-2.44 (m, 2H), 2.29 (s, 3H), 1.90-1.80 (m, 2H), 1.63-1.47 (m, 2H).

Example 64: (2r,4s)-2-(4-(3-Methyl-4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-2-methyl-1-(trifluoromethoxy)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₁H₂₅F₃N₂O₃, 410.2; m/z found, 411.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.13 (dq, J=8.5, 1.6 Hz, 1H), 7.05 (d, J=2.2 Hz, 1H), 7.00 (dd, J=8.4, 2.4 Hz, 1H), 5.94 (s, 1H), 4.76 (d, J=13.3 Hz, 1H), 3.85 (d, J=13.5 Hz, 1H), 3.14-2.98 (m, 2H), 2.78-2.47 (m, 4H), 2.44-2.32 (m, 4H), 2.29 (s, 3H), 2.27-2.19 (m, 2H), 1.88 (d, J=13.3 Hz, 2H), 1.69-1.43 (m, 2H).

Example 65: (2s,4s)-2-(4-(4-Cyclopropyl-2-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-cyclopropyl-2-methylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₂H₂₈N₂O₃, 368.2; m/z found, 369.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.03-6.97 (m, 1H), 6.91-6.84 (m, 2H), 5.79 (s, 1H), 4.81-4.71 (m, 1H), 4.38 (s, 2H), 3.82 (d, J=13.4 Hz, 1H), 3.12 (td, J=13.1, 2.5 Hz, 1H), 3.08-3.00 (m, 1H), 2.91 (tt, J=12.1, 3.5 Hz, 1H), 2.74-2.60 (m, 3H), 2.54-2.45 (m, 2H), 2.31 (s, 3H), 1.86-1.78 (m, 3H), 1.58-1.45 (m, 2H), 0.95-0.89 (m, 2H), 0.68-0.62 (m, 2H).

Example 66: (2s,4s)-2-(4-(3-(tert-Butyl)-4-chlorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-2-tert-butyl-1-chlorobenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₂H₂₉ClN₂O₃, 404.2; m/z found, 405.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.28 (d, J=8.1 Hz, 1H), 7.21 (d, J=2.2 Hz, 1H), 6.93 (dd, J=8.2, 2.3 Hz, 1H), 5.84 (s, 1H), 4.80-4.73 (m, 1H), 4.38 (s, 2H), 3.85-3.78 (m, 1H), 3.12 (td, J=13.1, 2.5 Hz, 1H), 3.04 (tt, J=8.6, 7.5 Hz, 1H), 2.76-2.61 (m, 4H), 2.55-2.46 (m, 2H), 1.93-1.86 (m, 2H), 1.59-1.48 (m, 2H), 1.47 (s, 9H).

Example 67: (2s,4s)-2-(4-(3-(Difluoromethoxy)-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-2-difluoromethyoxy-1-methylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₄F₂N₂O₄, 394.2; m/z found, 395.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.16 (dd, J=7.8, 0.9 Hz, 1H), 6.94 (dd, J=7.8, 1.8 Hz, 1H), 6.90-6.87 (m, 1H), 6.47 (t, J=74.2 Hz, 1H), 6.09 (s, 1H), 4.79-4.72 (m, 1H), 4.38 (s, 2H), 3.87-3.78 (m, 1H), 3.11 (td, J=13.1, 2.5 Hz, 1H), 3.03 (p, J=8.1 Hz, 1H), 2.76-2.61 (m, 4H), 2.52-2.44 (m, 2H), 2.25 (s, 3H), 1.94-1.87 (m, 2H), 1.63-1.46 (m, 2H).

Example 68: (2s,4s)-2-(4-(3-(tert-Butyl)-4-fluorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepare in a manner analogous to Example 4 using 4-bromo-2-tert-butyl-1-fluorobenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₂H₂₉FN₂O₃, 388.2; m/z found, 389.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.07 (dd, J=8.0, 2.2 Hz, 1H), 6.99-6.89 (m, 2H), 5.86 (s, 1H), 4.79-4.73 (m, 1H), 4.38 (s, 2H), 3.82 (dt, J=13.5, 2.3 Hz, 1H), 3.11 (td, J=13.1, 2.5 Hz, 1H), 3.08-2.99 (m, 1H), 2.77-2.61 (m, 4H), 2.54-2.46 (m, 2H), 1.90 (dq, J=13.0, 2.2 Hz, 2H), 1.65-1.46 (m, 2H), 1.37 (d, J=1.0 Hz, 9H).

Example 69: (2r,4s)-2-(4-(2-Methyl-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 2-bromo-6-(trifluoromethoxy)toluene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₁H₂₅F₃N₂O₃, 410.2; m/z found, 411.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.19 (t, J=8.0 Hz, 1H), 7.12-7.05 (m, 2H), 6.02 (s, 1H), 4.79 (d, J=13.3 Hz, 1H), 3.88 (d, J=13.5 Hz, 1H), 3.17-3.09 (m, 1H), 3.06 (t, J=8.4 Hz, 1H), 2.99 (tt, J=12.1, 3.4 Hz, 1H), 2.68 (t, J=13.0 Hz, 1H), 2.57 (q, J=10.1, 9.5 Hz, 2H), 2.44-2.34 (m, 4H), 2.29 (s, 3H), 2.27-2.19 (m, 2H), 1.84 (d, J=13.3 Hz, 2H), 1.66-1.47 (m, 2H).

Example 70: (2s,4s)-2-(4-(3-Methyl-5-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-3-methyl-5-(trifluoromethoxy)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₄, 412.2; m/z found, 413.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 6.92 (s, 1H), 6.89 (s, 1H), 6.82 (s, 1H), 6.10 (s, 1H), 4.76 (d, J=13.3 Hz, 1H), 4.38 (s, 2H), 3.83 (d, J=13.5 Hz, 1H), 3.16-2.95 (m, 2H), 2.78-2.60 (m, 4H), 2.54-2.43 (m, 2H), 2.35 (s, 3H), 1.95-1.87 (m, 2H), 1.64-1.44 (m, 2H).

Example 71: (2s,4s)-2-(4-(4-(Difluoromethoxy)-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-1-(difluoromethoxy)-2-methylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₄F₂N₂O₄, 394.2; m/z found, 395.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.05-6.94 (m, 3H), 6.46 (t, J=74.3 Hz, 1H), 6.21 (s, 1H), 4.75 (d, J=13.1 Hz, 1H), 4.38 (s, 2H), 3.82 (d, J=13.5 Hz, 1H), 3.17-2.95 (m, 2H), 2.76-2.60 (m, 4H), 2.54-2.43 (m, 2H), 2.27 (s, 3H), 1.95-1.83 (m, 2H), 1.65-1.43 (m, 2H).

Example 72: (2s,4s)-2-(4-(2-Methyl-5-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 2-bromo-1-methyl-4-(trifluoromethyl)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₃, 396.2; m/z found, 397.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.40-7.35 (m, 1H), 7.35 (d, J=1.8 Hz, 1H), 7.27 (d, J=7.7 Hz, 1H), 6.02 (s, 1H), 4.85-4.75 (m, 1H), 4.39 (s, 2H), 3.91-3.79 (m, 1H), 3.20-3.10 (m, 1H), 3.10-2.95 (m, 2H), 2.79-2.59 (m, 3H), 2.55-2.46 (m, 2H), 2.41 (s, 3H), 1.86 (dt, J=14.2, 2.4 Hz, 2H), 1.64-1.50 (m, 2H).

Example 73: (2r,4s)-2-(4-(3-(tert-Butyl)-4-chlorophenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-2-tert-butyl-1-chlorobenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₃H₃₁ClN₂O₂, 402.2; m/z found, 403.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.27 (d, J=8.1 Hz, 1H), 7.21 (d, J=2.2 Hz, 1H), 6.93 (dd, J=8.1, 2.2 Hz, 1H), 6.04 (s, 1H), 4.75 (s, 1H), 3.85 (d, J=13.0 Hz, 1H), 3.15-2.98 (m, 2H), 2.76-2.61 (m, 2H), 2.56 (s, 2H), 2.43-2.31 (m, 4H), 2.29-2.19 (m, 2H), 1.93-1.83 (m, 2H), 1.62-1.48 (m, 2H), 1.47 (s, 9H).

Example 74: (2r,4s)-2-(4-(2-Chloro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-2-chloro-3-(trifluoromethoxy)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₀H₂₂ClF₃N₂O₃, 430.1; m/z found, 431.1 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.31-7.26 (m, 1H), 7.22 (dp, J=8.2, 1.5 Hz, 1H), 7.14 (dd, J=7.8, 1.6 Hz, 1H), 6.09 (s, 1H), 4.80 (s, 1H), 3.87 (s, 1H), 3.32 (tt, J=12.1, 3.4 Hz, 1H), 3.16 (s, 1H), 3.05 (p, J=8.4 Hz, 1H), 2.71 (s, 1H), 2.61-2.52 (m, 2H), 2.43-2.35 (m, 4H), 2.24 (t, J=7.6 Hz, 2H), 2.01-1.86 (m, 2H), 1.65-1.39 (m, 2H).

Example 75: (2s,4s)-2-(4-(4-Cyclopropoxyphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-cyclopropoxybenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₁H₂₆N₂O₄, 370.2; m/z found, 371.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.12-7.06 (m, 2H), 7.01-6.96 (m, 2H), 5.97 (s, 1H), 4.78-4.71 (m, 1H), 4.38 (s, 2H), 3.81 (dd, J=13.8, 3.4 Hz, 1H), 3.73-3.66 (m, 1H), 3.11 (td, J=13.2, 2.5 Hz, 1H), 3.07-2.99 (m, 1H), 2.74-2.62 (m, 4H), 2.53-2.44 (m, 2H), 1.94-1.85 (m, 2H), 1.63-1.42 (m, 2H), 0.79-0.72 (m, 4H).

Example 76: (2s,4s)-2-(4-(2-Fluoro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-2-fluoro-3-(trifluoromethoxy)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₀F₄N₂O₄, 416.1; m/z found, 417.5 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.23-7.16 (m, 1H), 7.15-7.06 (m, 2H), 5.76 (s, 1H), 4.79 (d, J=13.4 Hz, 1H), 4.38 (s, 2H), 3.83 (d, J=13.6 Hz, 1H), 3.22-3.09 (m, 2H), 3.09-2.98 (m, 1H), 2.75-2.61 (m, 3H), 2.51 (td, J=8.6, 4.4 Hz, 2H), 1.92 (t, J=11.4 Hz, 2H), 1.73-1.60 (m, 2H).

Example 77: (2s,4s)-2-(4-(3-(Pentafluoro-λ⁶-sulfaneyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 3-bromophenylsulfur pentafluoride instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₈H₂₁F₅N₂O₃S, 440.1; m/z found, 441.1 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.64-7.61 (m, 1H), 7.56 (t, J=2.0 Hz, 1H), 7.42 (t, J=7.9 Hz, 1H), 7.33 (d, J=7.7 Hz, 1H), 5.74 (s, 1H), 4.84-4.75 (m, 1H), 4.38 (s, 2H), 3.85 (d, J=13.3 Hz, 1H), 3.14 (td, J=13.1, 2.4 Hz, 1H), 3.09-3.01 (m, 1H), 2.84 (tt, J=12.5, 3.8 Hz, 1H), 2.74-2.60 (m, 3H), 2.55-2.47 (m, 2H), 1.99-1.91 (m, 2H), 1.67-1.52 (m, 2H).

Example 78: (2s,4s)-2-(4-(4-(Pentafluoro-λ⁶-sulfaneyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromophenylsulfur pentafluoride instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₈H₂₁F₅N₂O₃S, 440.1; m/z found, 441.1 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.73-7.66 (m, 2H), 7.27 (d, J=8.0 Hz, 2H), 6.09 (s, 1H), 4.82-4.76 (m, 1H), 4.38 (s, 2H), 3.89-3.80 (m, 1H), 3.14 (td, J=13.1, 2.5 Hz, 1H), 3.03 (p, J=8.1 Hz, 1H), 2.82 (tt, J=12.2, 3.6 Hz, 1H), 2.75-2.62 (m, 3H), 2.53-2.45 (m, 2H), 1.96-1.89 (m, 2H), 1.66-1.48 (m, 2H).

Example 79: (2r,4s)-2-(4-(3-(tert-Butyl)-4-fluorophenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-2-tert-butyl-1-fluorobenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₃H₃₁FN₂O₂, 386.2; m/z found, 387.3 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.07 (dd, J=8.0, 2.2 Hz, 1H), 6.99-6.89 (m, 2H), 6.02 (s, 1H), 4.79-4.73 (m, 1H), 3.87-3.80 (m, 1H), 3.13-2.99 (m, 2H), 2.75-2.62 (m, 2H), 2.61-2.51 (m, 2H), 2.42-2.32 (m, 4H), 2.27-2.20 (m, 2H), 1.93-1.84 (m, 2H), 1.62-1.44 (m, 2H), 1.37 (d, J=1.0 Hz, 9H).

Example 80: (2s,4s)-2-(4-(4-Isobutylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-isobutylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₂H₃₀N₂O₃, 370.2; m/z found, 371.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.08 (s, 4H), 6.21 (s, 1H), 4.74 (d, J=13.2 Hz, 1H), 4.38 (s, 2H), 3.82 (d, J=13.5 Hz, 1H), 3.15-3.06 (m, 1H), 3.02 (q, J=8.2 Hz, 1H), 2.77-2.63 (m, 4H), 2.53-2.41 (m, 4H), 1.95-1.87 (m, 2H), 1.84 (dt, J=13.5, 6.8 Hz, 1H), 1.66-1.46 (m, 2H), 0.89 (d, J=6.6 Hz, 6H).

Example 81: (racemic)-(2s,4s)-8-Methyl-2-(4-(4-(1-methylcyclopropyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-(1-methylcyclopropyl)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2s,4s)-8-methyl-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 6) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₃H₃₀N₂O₃, 382.2; m/z found, 383.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.22-7.17 (m, 2H), 7.11-7.06 (m, 2H), 6.04 (s, 1H), 4.79-4.71 (m, 1H), 4.52 (q, J=6.5 Hz, 1H), 3.83-3.73 (m, 1H), 3.11 (tt, J=13.0, 2.2 Hz, 1H), 3.02-2.92 (m, 1H), 2.77-2.59 (m, 4H), 2.48-2.37 (m, 2H), 1.94-1.85 (m, 2H), 1.66-1.49 (m, 2H), 1.44 (d, J=6.5 Hz, 3H), 1.39 (s, 3H), 0.86-0.80 (m, 2H), 0.74-0.68 (m, 2H).

Example 82: (2s,4s)-2-(4-(3-(2-Hydroxypropan-2-yl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 2-(3-bromophenyl)propan-2-ol instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₁H₂₈N₂O₄, 372.2; m/z found, 355.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.31-7.22 (m, 3H), 7.06 (dt, J=7.2, 1.7 Hz, 1H), 6.17 (s, 1H), 4.80-4.72 (m, 1H), 4.39 (s, 2H), 3.88-3.79 (m, 1H), 3.12 (td, J=13.1, 2.5 Hz, 1H), 3.05 (d, J=11.0 Hz, 2H), 2.81-2.62 (m, 4H), 2.54-2.43 (m, 2H), 1.96-1.87 (m, 2H), 1.68-1.53 (m, 2H), 1.51 (s, 6H).

Example 83: (2s,4s)-2-(4-(3-Isobutylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-3-isobutylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₂H₃₀N₂O₃, 370.2; m/z found, 371.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.21 (t, J=7.6 Hz, 1H), 7.00 (tt, J=7.3, 1.3 Hz, 2H), 6.95 (t, J=1.8 Hz, 1H), 5.90 (s, 1H), 4.80-4.71 (m, 1H), 4.38 (s, 2H), 3.82 (d, J=13.4 Hz, 1H), 3.17-2.98 (m, 2H), 2.76-2.62 (m, 4H), 2.54-2.41 (m, 4H), 1.97-1.88 (m, 2H), 1.83 (dq, J=13.5, 6.8 Hz, 1H), 1.67-1.48 (m, 2H), 0.90 (d, J=6.6 Hz, 6H).

Example 84: (2s,4s)-2-(4-(4-(2-Hydroxypropan-2-yl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 2-(4-bromophenyl)propan-2-ol instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₁H₂₈N₂O₄, 372.2; m/z found, 355.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.38-7.32 (m, 2H), 7.17-7.12 (m, 2H), 5.87 (s, 1H), 4.76 (d, J=13.3 Hz, 1H), 4.38 (s, 2H), 3.82 (d, J=13.4 Hz, 1H), 3.06 (s, 5H), 2.79-2.61 (m, 4H), 2.50 (dd, J=12.7, 8.8 Hz, 2H), 1.93 (d, J=12.9 Hz, 2H), 1.51 (s, 6H).

Example 85: (2s,4s)-2-(4-(3,5-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 5-bromo-m-xylene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₆N₂O₃, 342.2; m/z found, 343.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 6.86 (s, 1H), 6.79 (s, 2H), 6.32 (d, J=38.7 Hz, 1H), 4.80-4.70 (m, 1H), 4.39 (s, 2H), 3.85-3.77 (m, 1H), 3.14-3.06 (m, 1H), 3.02 (pd, J=8.2, 1.5 Hz, 1H), 2.76-2.61 (m, 4H), 2.52-2.43 (m, 2H), 2.29 (s, 6H), 1.93-1.86 (m, 2H), 1.65-1.48 (m, 2H).

Example 86: (2s,4s)-2-(4-(2,4-Difluoro-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-2,4-difluoro-3-methylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₂F₂N₂O₃, 364.2; m/z found, 365.1 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 6.92 (td, J=8.5, 6.2 Hz, 1H), 6.79 (td, J=8.6, 1.5 Hz, 1H), 5.86 (s, 1H), 4.82-4.75 (m, 1H), 4.38 (s, 2H), 3.87-3.80 (m, 1H), 3.14 (td, J=13.1, 2.6 Hz, 1H), 3.09-3.01 (m, 2H), 2.74-2.62 (m, 3H), 2.54-2.45 (m, 2H), 2.18 (t, J=1.9 Hz, 3H), 1.92-1.82 (m, 2H), 1.68-1.47 (m, 2H).

Example 87: (2s,4s)-2-(4-(4-(Trimethylsilyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using (4-bromophenyl)trimethylsilane instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₁H₃₀N₂O₃Si, 386.2; m/z found, 387.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.51-7.45 (m, 2H), 7.20-7.14 (m, 2H), 6.01 (s, 1H), 4.76 (s, 1H), 4.38 (s, 2H), 3.83 (s, 1H), 3.19-3.00 (m, 2H), 2.78-2.62 (m, 4H), 2.53-2.45 (m, 2H), 1.96-1.89 (m, 2H), 1.59 (s, 2H), 0.25 (s, 9H).

Example 88: (2s,4s)-2-(4-(4-Fluoro-2,3-dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-fluoro-2,3-dimethylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₅FN₂O₃, 360.2; m/z found, 361.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 6.92 (dd, J=8.7, 5.7 Hz, 1H), 6.84 (t, J=8.9 Hz, 1H), 6.20 (s, 1H), 4.81-4.73 (m, 1H), 4.38 (s, 2H), 3.88-3.80 (m, 1H), 3.13 (td, J=13.1, 2.4 Hz, 1H), 3.08-2.91 (m, 2H), 2.77-2.63 (m, 3H), 2.48 (tt, J=9.9, 2.0 Hz, 2H), 2.25 (s, 3H), 2.20 (d, J=2.2 Hz, 3H), 1.86-1.78 (m, 2H), 1.62-1.44 (m, 2H).

Example 89: (2s,4s)-2-(4-(2,5-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 2,5-dimethylbromobenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₆N₂O₃, 342.2; m/z found, 343.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.05 (dd, J=7.6, 1.0 Hz, 1H), 6.93 (d, J=6.9 Hz, 2H), 6.15 (s, 1H), 4.82-4.74 (m, 1H), 4.39 (s, 2H), 3.88-3.81 (m, 1H), 3.13 (td, J=13.1, 2.5 Hz, 1H), 3.04 (p, J=8.1 Hz, 1H), 2.93 (tt, J=12.1, 3.5 Hz, 1H), 2.78-2.64 (m, 3H), 2.54-2.43 (m, 2H), 2.30 (s, 3H), 2.29 (s, 3H), 1.88-1.79 (m, 2H), 1.67-1.48 (m, 2H).

Example 90: (2s,4s)-2-(4-(3-Ethyl-4-fluorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-2-ethyl-1-fluorobenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₅FN₂O₃, 360.2; m/z found, 361.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 6.99 (dd, J=7.3, 2.0 Hz, 1H), 6.97-6.90 (m, 2H), 6.14 (s, 1H), 4.79-4.71 (m, 1H), 4.38 (s, 2H), 3.86-3.78 (m, 1H), 3.11 (td, J=13.1, 2.5 Hz, 1H), 3.03 (p, J=8.1 Hz, 1H), 2.75-2.60 (m, 6H), 2.53-2.44 (m, 2H), 1.93-1.86 (m, 2H), 1.63-1.46 (m, 2H), 1.21 (t, J=7.6 Hz, 3H).

Example 91: (2s,4s)-2-(4-(3,5-Difluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 5-bromo-1,3-difluoro-2-methylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₁₉H₂₂F₂N₂O₃, 364.2; m/z found, 365.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 6.69-6.63 (m, 2H), 5.99 (s, 1H), 4.78-4.72 (m, 1H), 4.38 (s, 2H), 3.85-3.79 (m, 1H), 3.10 (td, J=13.1, 2.5 Hz, 1H), 3.07-2.98 (m, 1H), 2.75-2.59 (m, 4H), 2.53-2.46 (m, 2H), 2.15 (t, J=1.7 Hz, 3H), 1.94-1.85 (m, 2H), 1.59-1.43 (m, 2H).

Example 92: (2S*,4s,8R*)-8-Methyl-2-(4-(4-(1-methylcyclopropyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared via separation of (racemic)-(2s,4s)-8-methyl-2-(4-(4-(1-methylcyclopropyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 81) by supercritical fluid chromatography (Stationary phase: Whelk O1 SS, 5 μm 250×21 mm; Mobile phase: 30% MeOH with 0.2% TEA, 70% CO₂). MS (ESI): mass calcd. for C₂₃H₃₀N₂O₃, 382.2; m/z found, 383.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.22-7.16 (m, 2H), 7.11-7.06 (m, 2H), 5.86 (s, 1H), 4.79-4.72 (m, 1H), 4.51 (q, J=6.5 Hz, 1H), 3.79 (d, J=13.5 Hz, 1H), 3.11 (t, J=13.0 Hz, 1H), 2.99 (tt, J=8.8, 6.6 Hz, 1H), 2.76-2.55 (m, 4H), 2.48-2.37 (m, 2H), 1.94-1.85 (m, 2H), 1.67-1.48 (m, 2H), 1.44 (d, J=6.5 Hz, 3H), 1.39 (s, 3H), 0.86-0.80 (m, 2H), 0.75-0.68 (m, 2H).

Example 93: (2R*,4s,8S*)-8-Methyl-2-(4-(4-(1-methylcyclopropyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared via separation of (racemic)-(2s,4s)-8-methyl-2-(4-(4-(1-methylcyclopropyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 81) by supercritical fluid chromatography (Stationary phase: Whelk O1 SS, 5 μm 250×21 mm; Mobile phase: 30% MeOH with 0.2% TEA, 70% CO₂). MS (ESI): mass calcd. for C₂₃H₃₀N₂O₃, 382.2; m/z found, 383.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.22-7.16 (m, 2H), 7.12-7.06 (m, 2H), 6.02 (s, 1H), 4.79-4.72 (m, 1H), 4.52 (q, J=6.5 Hz, 1H), 3.79 (dd, J=13.3, 3.6 Hz, 1H), 3.11 (tt, J=13.0, 2.1 Hz, 1H), 2.98 (tt, J=8.6, 6.9 Hz, 1H), 2.76-2.55 (m, 4H), 2.48-2.37 (m, 2H), 1.94-1.85 (m, 2H), 1.67-1.48 (m, 2H), 1.45 (d, J=6.5 Hz, 3H), 1.39 (s, 3H), 0.87-0.81 (m, 2H), 0.74-0.69 (m, 2H).

Example 94: (2s,4s)-2-(4-(3-(Trimethylsilyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-3-(trimethylsilyl)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₁H₃₀N₂O₃Si, 386.2; m/z found, 387.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.39 (dt, J=7.2, 1.3 Hz, 1H), 7.33-7.28 (m, 2H), 7.16 (dt, J=7.6, 1.7 Hz, 1H), 6.01 (s, 1H), 4.82-4.72 (m, 1H), 4.39 (s, 2H), 3.87-3.79 (m, 1H), 3.13 (td, J=13.1, 2.5 Hz, 1H), 3.04 (q, J=8.1 Hz, 1H), 2.81-2.60 (m, 4H), 2.54-2.44 (m, 2H), 1.96-1.88 (m, 2H), 1.70-1.49 (m, 2H), 0.26 (s, 9H).

Example 95: (2r,4s)-2-(4-(4-(Trimethylsilyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using (4-bromophenyl)trimethylsilane instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₂H₃₂N₂O₂Si, 384.2; m/z found, 385.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.50-7.44 (m, 2H), 7.20-7.14 (m, 2H), 5.92 (s, 1H), 4.80-4.70 (m, 1H), 3.85 (d, J=13.3 Hz, 1H), 3.16-2.98 (m, 2H), 2.78-2.47 (m, 4H), 2.44-2.31 (m, 4H), 2.27-2.20 (m, 2H), 1.91 (d, J=13.4 Hz, 2H), 1.69-1.50 (m, 2H), 0.26 (s, 9H).

Example 96: (2r,4s)-2-(4-(3-Isobutylphenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-3-isobutylbenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₃H₃₂N₂O₂, 368.2; m/z found, 369.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.21 (t, J=7.6 Hz, 1H), 7.02-6.97 (m, 2H), 6.95 (d, J=1.8 Hz, 1H), 6.08 (s, 1H), 4.79-4.71 (m, 1H), 3.88-3.79 (m, 1H), 3.14-2.98 (m, 2H), 2.76-2.51 (m, 4H), 2.45 (d, J=7.1 Hz, 2H), 2.43-2.33 (m, 4H), 2.27-2.19 (m, 2H), 1.94-1.76 (m, 3H), 1.67-1.48 (m, 2H), 0.89 (d, J=6.6 Hz, 6H).

Example 97: (2s,4s)-2-(4-(4-(tert-Butyl)-3-methoxyphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-bromo-1-tert-butyl-2-methoxybenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₃H₃₂N₂O₄, 400.2; m/z found, 401.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.20 (dd, J=7.8, 2.5 Hz, 1H), 6.74-6.64 (m, 2H), 6.62-3.07 (m, 1H), 4.80-4.72 (m, 1H), 4.39 (s, 2H), 3.88-3.77 (m, 4H), 3.17-2.96 (m, 2H), 2.78-2.61 (m, 4H), 2.52-2.42 (m, 2H), 1.97-1.88 (m, 2H), 1.67-1.46 (m, 2H), 1.35 (s, 9H).

Example 98: (2s,4s)-2-(4-(4-Methoxy-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 4-methoxy-3-(trifluoromethyl)bromobenzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₄, 412.2; m/z found, 413.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.36 (d, J=2.3 Hz, 1H), 7.30 (dd, J=8.5, 2.4 Hz, 1H), 6.95 (d, J=8.6 Hz, 1H), 6.02 (s, 1H), 4.82-4.71 (m, 1H), 4.38 (s, 2H), 3.88 (s, 3H), 3.86-3.79 (m, 1H), 3.17-2.98 (m, 2H), 2.79-2.61 (m, 4H), 2.54-2.44 (m, 2H), 1.94-1.86 (m, 2H), 1.63-1.44 (m, 2H).

Example 99: (racemic)-(2s,4s)-2-(4-(4-(sec-Butyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-(sec-butyl)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A. MS (ESI): mass calcd. for C₂₂H₃₀N₂O₃, 370.2; m/z found, 371.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.10 (q, J=8.4 Hz, 4H), 6.05 (s, 1H), 4.78-4.71 (m, 1H), 4.38 (s, 2H), 3.85-3.78 (m, 1H), 3.11 (td, J=13.1, 2.5 Hz, 1H), 3.03 (p, J=8.1 Hz, 1H), 2.76-2.63 (m, 4H), 2.57 (hept, J=7.0 Hz, 1H), 2.52-2.43 (m, 2H), 1.96-1.88 (m, 2H), 1.65-1.47 (m, 4H), 1.22 (d, J=7.0 Hz, 3H), 0.82 (t, J=7.4 Hz, 3H).

Example 100: (racemic)-(2r,4s)-2-(4-(4-(sec-Buty)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Example 4 using 1-bromo-4-(sec-butyl)benzene instead of 1-bromo-2-methyl-4-(trifluoromethyl)benzene in Step A and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3) in Step C. MS (ESI): mass calcd. for C₂₃H₃₂N₂O₂, 368.2; m/z found, 369.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.14-7.06 (m, 4H), 6.09 (s, 1H), 4.78-4.71 (m, 1H), 3.88-3.80 (m, 1H), 3.14-2.99 (m, 2H), 2.75-2.61 (m, 2H), 2.61-2.51 (m, 3H), 2.42-2.31 (m, 4H), 2.27-2.19 (m, 2H), 1.90 (dt, J=13.5, 3.2 Hz, 2H), 1.65-1.48 (m, 4H), 1.22 (d, J=7.0 Hz, 3H), 0.82 (t, J=7.4 Hz, 3H).

Example 101: (2s,4s)-2-(4-(1H-Pyrrolo[2,3-b]pyridin-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Steps B and C of Example 4 using tert-butyl 4-(1H-pyrrolo[2,3-b]pyridin-2-yl)piperidine-1-carboxylate (Intermediate 9) instead of tert-butyl 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidine-1-carboxylate in Step B. MS (ESI): mass calcd. for C₁₉H₂₂N₄O₃, 354.2; m/z found, 355.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 11.32 (s, 1H), 8.24-8.19 (m, 1H), 7.85 (dd, J=7.8, 1.5 Hz, 1H), 7.07-7.02 (m, 1H), 6.21-6.18 (m, 1H), 4.73 (d, J=12.9 Hz, 1H), 4.39 (s, 2H), 3.85 (d, J=13.6 Hz, 1H), 3.26-3.15 (m, 1H), 3.14-2.97 (m, 2H), 2.90-2.68 (m, 3H), 2.53-2.42 (m, 2H), 2.22-2.12 (m, 2H), 1.86-1.64 (m, 3H).

Example 102: (2s,4s)-2-[4-(6-Fluorobenzofuran-3-yl)piperidine-1-carbonyl]-6-oxa-8-azaspiro[3.4]octan-7-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(6-fluorobenzofuran-3-yl)piperidine instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₂₀H₂₁FN₂O₄, 372.1; m/z found, 373.1 [M+H]⁺. ¹H NMR (400 MHz, Chloroform-d) δ 7.45 (dd, J=8.6, 5.3 Hz, 1H), 7.37 (d, J=1.0 Hz, 1H), 7.19 (dd, J=9.0, 2.3 Hz, 1H), 7.01 (ddd, J=9.4, 8.6, 2.3 Hz, 1H), 5.70 (s, 1H), 4.73 (d, J=13.4 Hz, 1H), 4.38 (s, 2H), 3.83 (d, J=13.9 Hz, 1H), 3.19 (t, J=13.0 Hz, 1H), 3.10-2.92 (m, 2H), 2.79 (t, J=12.8 Hz, 1H), 2.66 (d, J=7.3 Hz, 2H), 2.55-2.45 (m, 2H), 2.12 (d, J=13.5 Hz, 2H), 1.65 (dd, J=25.4, 12.0 Hz, 2H).

Example 103: (2s,4s)-2-(4-(4-(Trifluoromethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(4-trifluoromethylphenyl)piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₉H₂₁F₃N₂O₃, 382.1; m/z found, 383.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.56 (d, J=7.8 Hz, 2H), 7.29 (d, J=7.9 Hz, 2H), 6.53 (s, 1H), 4.77 (d, J=11.7 Hz, 1H), 4.38 (s, 2H), 3.86 (d, J=12.6 Hz, 1H), 3.21-3.07 (m, 1H), 3.07-2.93 (m, 1H), 2.90-2.60 (m, 4H), 2.55-2.38 (m, 2H), 1.92 (d, J=12.2 Hz, 2H), 1.69-1.47 (m, 2H).

Example 104: (2s,4s)-2-(4-(Benzofuran-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(benzofuran-2-yl)piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₂₀H₂₂N₂O₄, 354.2; m/z found, 355.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.53-7.47 (m, 1H), 7.43-7.38 (m, 1H), 7.25-7.16 (m, 2H), 6.39 (t, J=1.0 Hz, 1H), 5.98 (s, 1H), 4.67-4.58 (m, 1H), 4.38 (s, 2H), 3.84-3.74 (m, 1H), 3.24-3.13 (m, 1H), 3.08-2.97 (m, 2H), 2.90-2.81 (m, 1H), 2.73-2.62 (m, 2H), 2.52-2.44 (m, 2H), 2.20-2.08 (m, 2H), 1.77-1.59 (m, 2H).

Example 105: (2s,4s)-2-(4-(Naphthalen-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(2-naphthyl)piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₂₂H₂₄N₂O₃, 364.2; m/z found, 365.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.84-7.75 (m, 3H), 7.63-7.59 (m, 1H), 7.50-7.41 (m, 2H), 7.35-7.30 (m, 1H), 5.93 (s, 1H), 4.86-4.74 (m, 1H), 4.39 (s, 2H), 3.92-3.80 (m, 1H), 3.25-3.12 (m, 1H), 3.12-3.01 (m, 1H), 2.98-2.85 (m, 1H), 2.80-2.62 (m, 3H), 2.58-2.45 (m, 2H), 2.08-1.94 (m, 2H), 1.82-1.54 (m, 2H).

Example 106: (2s,4s)-2-(4-(1H-Indol-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 2-(piperidin-4-yl)-1H-indole instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₂₀H₂₃N₃O₃, 353.2; m/z found, 354.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 8.51 (s, 1H), 7.56-7.50 (m, 1H), 7.35-7.31 (m, 1H), 7.15-7.10 (m, 1H), 7.10-7.03 (m, 1H), 6.48 (s, 1H), 6.26-6.21 (m, 1H), 4.68 (d, J=13.3 Hz, 1H), 4.41 (s, 2H), 3.82 (d, J=13.6 Hz, 1H), 3.22-3.12 (m, 1H), 3.08-2.94 (m, 2H), 2.84-2.66 (m, 3H), 2.56-2.42 (m, 2H), 2.11-2.01 (m, 2H), 1.79-1.66 (m, 2H).

Example 107: (2s,4s)-2-(4-(4-(Trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(4-(trifluoromethoxy)phenyl)piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₉H₂₁F₃N₂O₄, 398.1; m/z found, 399.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.22-7.17 (m, 2H), 7.17-7.13 (m, 2H), 6.03 (s, 1H), 4.80-4.74 (m, 1H), 4.38 (s, 2H), 3.87-3.80 (m, 1H), 3.12 (td, J=13.1, 2.5 Hz, 1H), 3.03 (p, J=8.1 Hz, 1H), 2.77 (tt, J=12.1, 3.6 Hz, 1H), 2.73-2.63 (m, 3H), 2.54-2.45 (m, 2H), 1.94-1.88 (m, 2H), 1.64-1.47 (m, 2H).

Example 108: (2s,4s)-2-(4-(4-(Methylthio)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(4-methylsulfanyl-phenyl)piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₉H₂₄N₂O₃S, 360.2; m/z found, 361.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.26-7.21 (m, 2H), 7.15-7.09 (m, 2H), 5.91 (s, 1H), 4.87-4.65 (m, 1H), 4.40 (s, 2H), 3.96-3.72 (m, 1H), 3.22-2.99 (m, 2H), 2.80-2.60 (m, 4H), 2.55-2.48 (m, 3H), 2.49 (s, 3H), 1.96-1.86 (m, 2H), 1.70-1.64 (m, 1H).

Example 109: (2s,4s)-2-(4-(4-(Dimethylamino)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using N,N-dimethyl-4-(piperidin-4-yl)aniline instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₂₀H₂₇N₃O₃, 357.2; m/z found, 358.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.13-7.00 (m, 2H), 6.84-6.61 (m, 2H), 5.90 (s, 1H), 4.78-4.69 (m, 1H), 4.38 (s, 2H), 3.85-3.76 (m, 1H), 3.15-3.06 (m, 1H), 3.06-2.98 (m, 1H), 2.94 (s, 6H), 2.74-2.61 (m, 4H), 2.55-2.44 (m, 2H), 1.93-1.84 (m, 2H), 1.74-1.43 (m, 2H).

Example 110: (2s,4s)-2-(4-(5-Chlorobenzofuran-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(5-chloro-1-benzofuran-2-yl)piperidine instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₂₀H₂₁ClN₂O₄, 388.1; m/z found, 389.0 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) 7.45 (d, J=2.1 Hz, 1H), 7.31 (d, J=8.7 Hz, 1H), 7.21-7.14 (m, 1H), 6.36-6.31 (m, 1H), 6.28 (s, 1H), 4.73-4.51 (m, 1H), 4.38 (s, 2H), 3.89-3.72 (m, 1H), 3.26-3.07 (m, 1H), 3.07-2.94 (m, 2H), 2.93-2.75 (m, 1H), 2.75-2.61 (m, 2H), 2.55-2.41 (m, 2H), 2.20-2.05 (m, 2H), 1.76-1.57 (m, 2H).

Example 111: (2s,4s)-2-(4-Phenylpiperidine-1-carbonyl-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-phenylpiperidine instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₈H₂₂N₂O₃, 314.2; m/z found, 315.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.35-7.28 (m, 2H), 7.25-7.13 (m, 3H), 6.29 (s, 1H), 4.81-4.69 (m, 1H), 4.39 (s, 2H), 3.90-3.76 (m, 1H), 3.19-3.07 (m, 1H), 3.07-2.96 (m, 1H), 2.81-2.60 (m, 4H), 2.53-2.41 (m, 2H), 1.98-1.87 (m, 2H), 1.69-1.47 (m, 2H).

Example 112: (2s,4s)-2-(4-(p-Tolyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(4-methylphenyl)piperidine instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₉H₂₄N₂O₃, 328.2; m/z found, 329.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.16-7.09 (m, 2H), 7.09-7.03 (m, 2H), 6.41 (s, 1H), 4.81-4.67 (m, 1H), 4.39 (s, 2H), 3.87-3.77 (m, 1H), 3.18-3.06 (m, 1H), 3.06-2.96 (m, 1H), 2.79-2.59 (m, 4H), 2.53-2.40 (m, 2H), 2.32 (s, 3H), 1.97-1.84 (m, 2H), 1.66-1.46 (m, 2H).

Example 113: (2s,4s)-2-(4-(Naphthalen-1-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(naphthanlen-1-yl)piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₂₂H₂₄N₂O₃, 364.2; m/z found, 365.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 8.08 (d, J=8.3 Hz, 1H), 7.90-7.84 (m, 1H), 7.74 (d, J=8.2 Hz, 1H), 7.57-7.46 (m, 2H), 7.46-7.39 (m, 1H), 7.35-7.28 (m, 1H), 6.45 (s, 1H), 4.92-4.77 (m, 1H), 4.39 (s, 2H), 3.98-3.84 (m, 1H), 3.64-3.51 (m, 1H), 3.34-3.20 (m, 1H), 3.12-3.00 (m, 1H), 2.92-2.79 (m, 1H), 2.79-2.67 (m, 2H), 2.54-2.42 (m, 2H), 2.14-2.02 (m, 2H), 1.84-1.60 (m, 2H).

Example 114: (2s,4s)-2-(4-(4-Fluorophenyl)piperidine-1-carbonyl-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(4-fluorophenyl)piperidine instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₈H₂₁FN₂O₃, 332.2; m/z found, 333.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.17-7.09 (m, 2H), 7.03-6.95 (m, 2H), 6.08 (s, 1H), 4.83-4.68 (m, 1H), 4.38 (s, 2H), 3.88-3.76 (m, 1H), 3.19-3.06 (m, 1H), 3.06-2.97 (m, 1H), 2.80-2.59 (m, 4H), 2.56-2.43 (m, 2H), 1.97-1.83 (m, 2H), 1.65-1.42 (m, 2H).

Example 115: (2s,4s)-2-(4-(3-Chlorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(3-chlorophenyl)piperidine instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₈H₂₁ClN₂O₃, 348.1; m/z found, 349.0 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.26-7.12 (m, 3H), 7.08-7.02 (m, 1H), 6.45 (s, 1H), 4.84-4.63 (m, 1H), 4.38 (s, 2H), 3.91-3.72 (m, 1H), 3.22-2.93 (m, 2H), 2.80-2.56 (m, 4H), 2.55-2.39 (m, 2H), 1.99-1.80 (m, 2H), 1.68-1.42 (m, 2H).

Example 116: (2s,4s)-2-(4-(o-Tolyl)piperidine-1-carbonyl-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(2-methylphenyl)piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₉H₂₄N₂O₃, 328.2; m/z found, 329.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.21-7.07 (m, 4H), 6.37 (s, 1H), 4.84-4.72 (m, 1H), 4.39 (s, 2H), 3.90-3.79 (m, 1H), 3.19-3.09 (m, 1H), 3.09-2.90 (m, 2H), 2.79-2.61 (m, 3H), 2.53-2.42 (m, 2H), 2.35 (s, 3H), 1.90-1.79 (m, 2H), 1.66-1.48 (m, 2H).

Example 117: (2s,4s)-2-(4-(4-Ethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(4-ethylphenyl)piperidine instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₂₀H₂₆N₂O₃, 342.2; m/z found, 343.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.18-7.12 (m, 2H), 7.12-7.06 (m, 2H), 6.23 (s, 1H), 4.80-4.68 (m, 1H), 4.39 (s, 2H), 3.88-3.74 (m, 1H), 3.18-2.97 (m, 2H), 2.79-2.55 (m, 6H), 2.53-2.40 (m, 2H), 1.96-1.85 (m, 2H), 1.67-1.47 (m, 2H), 1.29-1.18 (m, 3H).

Example 118: (2s,4s)-2-(4-(3-(Trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(3-trifluoromethylphenyl)piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₉H₂₁F₃N₂O₃, 382.1; m/z found, 383.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.52-7.34 (m, 4H), 5.96 (s, 1H), 4.85-4.73 (m, 1H), 4.39 (s, 2H), 3.90-3.79 (m, 1H), 3.20-3.09 (m, 1H), 3.09-2.97 (m, 1H), 2.88-2.77 (m, 1H), 2.77-2.61 (m, 3H), 2.56-2.45 (m, 2H), 1.99-1.89 (m, 2H), 1.62-1.50 (m, 2H).

Example 119: (2s,4s)-2-(4-(2-Fluorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(2-fluorophenyl)piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₈H₂₁FN₂O₃, 332.2; m/z found, 333.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.24-7.06 (m, 3H), 7.06-6.98 (m, 1H), 6.11 (s, 1H), 4.81-4.72 (m, 1H), 4.38 (s, 2H), 3.88-3.78 (m, 1H), 3.20-2.96 (m, 3H), 2.77-2.63 (m, 3H), 2.54-2.42 (m, 2H), 1.96-1.83 (m, 2H), 1.69-1.50 (m, 2H).

Example 120: (2s,4s)-2-(4-(3-Fluorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(3-fluorophenyl)piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₈H₂₁FN₂O₃, 332.2; m/z found, 333.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.31-7.23 (m, 1H), 6.99-6.84 (m, 3H), 5.96 (s, 1H), 4.81-4.70 (m, 1H), 4.38 (s, 2H), 3.89-3.77 (m, 1H), 3.19-2.96 (m, 2H), 2.82-2.60 (m, 4H), 2.55-2.44 (m, 2H), 1.98-1.87 (m, 2H), 1.61-1.45 (m, 2H).

Example 121: (2s,4s)-2-(4-(4-Chlorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(4-chlorophenyl)piperidine instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₈H₂₁ClN₂O₃, 348.1; m/z found, 349.0 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.31-7.27 (m, 2H), 7.14-7.08 (m, 2H), 5.84 (s, 1H), 4.80-4.71 (m, 1H), 4.38 (s, 2H), 3.86-3.76 (m, 1H), 3.17-2.98 (m, 2H), 2.79-2.60 (m, 4H), 2.55-2.45 (m, 2H), 1.95-1.85 (m, 2H), 1.59-1.44 (m, 2H).

Example 122: (2s,4s)-2-(4-(m-Tolyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(3-methylphenyl)piperidine instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₉H₂₄N₂O₃, 328.2; m/z found, 329.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.23-7.16 (m, 1H), 7.06-7.01 (m, 1H), 7.01-6.94 (m, 2H), 6.01 (s, 1H), 4.80-4.69 (m, 1H), 4.38 (s, 2H), 3.87-3.76 (m, 1H), 3.17-2.98 (m, 2H), 2.77-2.61 (m, 4H), 2.54-2.43 (m, 2H), 2.34 (s, 3H), 1.96-1.85 (m, 2H), 1.65-1.47 (m, 2H).

Example 123: (2s,4s)-2-(4-(4-Methoxyphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(4-methoxyphenyl)piperidine instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₉H₂₄N₂O₄, 344.2; m/z found, 345.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.13-7.06 (m, 2H), 6.88-6.81 (m, 2H), 6.08 (s, 1H), 4.80-4.69 (m, 1H), 4.38 (s, 2H), 3.85-3.78 (m, 1H), 3.79 (s, 3H), 3.16-2.97 (m, 2H), 2.76-2.59 (m, 4H), 2.53-2.42 (m, 2H), 1.96-1.84 (m, 2H), 1.64-1.43 (m, 2H).

Example 124: (2s,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-[4-(tert-butyl)phenyl]piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₂₂H₃₀N₂O₃, 370.2; m/z found, 371.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.36-7.29 (m, 2H), 7.16-7.07 (m, 2H), 6.00 (s, 1H), 4.81-4.70 (m, 1H), 4.38 (s, 2H), 3.87-3.76 (m, 1H), 3.16-2.98 (m, 2H), 2.78-2.60 (m, 4H), 2.54-2.42 (m, 2H), 1.98-1.85 (m, 2H), 1.65-1.44 (m, 2H), 1.31 (s, 9H).

Example 125: (2r,4s)-2-(4-(4-(Trifluoromethyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(4-trifluoromethylphenyl)piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride and using (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3). MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₂, 380.2; m/z found, 381.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.57 (d, J=8.0 Hz, 2H), 7.29 (d, J=8.0 Hz, 2H), 6.10 (s, 1H), 4.83-4.73 (m, 1H), 3.92-3.82 (m, 1H), 3.18-2.99 (m, 2H), 2.87-2.75 (m, 1H), 2.72-2.62 (m, 1H), 2.62-2.50 (m, 2H), 2.43-2.33 (m, 4H), 2.27-2.19 (m, 2H), 1.95-1.86 (m, 2H), 1.68-1.49 (m, 2H).

Example 126: (2r,4s)-2-(4-(5-Chlorobenzofuran-2-yl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(5-chloro-1-benzofuran-2-yl)piperidine instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride and using (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3). MS (ESI): mass calcd. for C₂₁H₂₃ClN₂O₃, 386.1; m/z found, 387.0 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.47-7.42 (m, 1H), 7.34-7.27 (m, 1H), 7.21-7.12 (m, 1H), 6.41-5.99 (m, 2H), 4.70-4.55 (m, 1H), 3.88-3.76 (m, 1H), 3.22-3.09 (m, 1H), 3.09-2.92 (m, 2H), 2.87-2.74 (m, 1H), 2.61-2.48 (m, 2H), 2.43-2.31 (m, 4H), 2.27-2.18 (m, 2H), 2.18-2.04 (m, 2H), 1.76-1.55 (m, 2H).

Example 127: (2r,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-[4-(tert-butyl)phenyl]piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride using and using (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3). MS (ESI): mass calcd. for C₂₃H₃₂N₂O₂, 368.2; m/z found, 369.1 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.36-7.30 (m, 2H), 7.15-7.09 (m, 2H), 6.02 (s, 1H), 4.79-4.71 (m, 1H), 3.88-3.79 (m, 1H), 3.14-2.99 (m, 2H), 2.76-2.62 (m, 2H), 2.62-2.50 (m, 2H), 2.44-2.32 (m, 4H), 2.26-2.20 (m, 2H), 1.95-1.85 (m, 2H), 1.65-1.48 (m, 2H), 1.31 (s, 9H).

Example 128: (2s,4s)-2-(4-Methyl-4-phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-methyl-4-phenylpiperidine instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₉H₂₄N₂O₃, 328.2; m/z found, 329.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.38-7.28 (m, 4H), 7.25-7.19 (m, 1H), 6.09 (s, 1H), 4.36 (s, 2H), 3.81-3.73 (m, 1H), 3.54-3.39 (m, 2H), 3.32-3.23 (m, 1H), 2.98 (p, J=8.1 Hz, 1H), 2.72-2.55 (m, 2H), 2.51-2.37 (m, 2H), 2.20-2.05 (m, 2H), 1.77-1.61 (m, 2H), 1.27 (s, 3H).

Example 129: (2s,4s)-2-(4-(6-Chlorobenzo[d]isoxazol-3-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 6-chloro-3-(4-piperidinyl)-1,2-benzoisoxazole hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₉H₂₀ClN₃O₄, 389.1; m/z found, 390.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.60 (d, J=1.6 Hz, 1H), 7.58 (d, J=8.4 Hz, 1H), 7.31 (dd, J=8.4, 1.7 Hz, 1H), 5.75 (s, 1H), 4.60 (d, J=13.5 Hz, 1H), 4.39 (s, 2H), 3.88 (d, J=13.5 Hz, 1H), 3.34 (tt, J=11.0, 3.9 Hz, 1H), 3.30-3.18 (m, 1H), 3.11-2.91 (m, 2H), 2.76-2.60 (m, 2H), 2.56-2.46 (m, 2H), 2.21-2.09 (m, 2H), 2.01-1.80 (m, 2H).

Example 130: (2s,4s)-2-(4-(3-(4-Chlorophenyl)-1,2,4-oxadiazol-5-yl)piperidine-1-carbonyl-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-[3-(4-chlorophenyl)-1,2,4-oxadiazol-5-yl]piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₂₀H₂₁ClN₄O₄, 416.1; m/z found, 417.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 8.04-7.95 (m, 2H), 7.49-7.43 (m, 2H), 5.63 (s, 1H), 4.48 (d, J=13.4 Hz, 1H), 4.38 (s, 2H), 3.80 (d, J=14.0 Hz, 1H), 3.33-3.19 (m, 2H), 3.09-2.98 (m, 2H), 2.71-2.60 (m, 2H), 2.56-2.47 (m, 2H), 2.23-2.14 (m, 2H), 1.97-1.82 (m, 2H).

Example 131: (racemic)-(2s,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-8-methyl-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-[4-(tert-butyl)phenyl]piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride and using (2s,4s)-8-methyl-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 6) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3). MS (ESI): mass calcd. for C₂₃H₃₂N₂O₃, 384.2; m/z found, 385.3 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.36-7.30 (m, 2H), 7.14-7.08 (m, 2H), 6.07 (s, 1H), 4.80-4.70 (m, 1H), 4.52 (q, J=6.5 Hz, 1H), 3.84-3.73 (m, 1H), 3.18-3.05 (m, 1H), 2.98 (tt, J=8.7, 7.0 Hz, 1H), 2.79-2.57 (m, 4H), 2.50-2.36 (m, 2H), 1.92 (dt, J=13.7, 2.2 Hz, 2H), 1.67-1.48 (m, 2H), 1.45 (d, J=6.5 Hz, 3H), 1.31 (s, 9H).

Example 132: (2S*,4s,8R*)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-8-methyl-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared via separation of (racemic)-(2s,4s)-2-(4-(4-(tert-butyl)phenyl)piperidine-1-carbonyl)-8-methyl-7-oxa-5-azaspiro[3.4]octan-6-one (Example 131) by chiral supercritical fluid chromatography (Stationary phase: Lux Cellulose 4, 5 μm 250×21 mm; Mobile phase: 50% MeOH, 50% CO₂). MS (ESI): mass calcd. for C₂₃H₃₂N₂O₃, 384.2; m/z found, 385.3 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.35-7.31 (m, 2H), 7.13-7.09 (m, 2H), 5.91 (s, 1H), 4.80-4.72 (m, 1H), 4.51 (q, J=6.5 Hz, 1H), 3.79 (d, J=13.5 Hz, 1H), 3.11 (t, J=13.2 Hz, 1H), 2.99 (tt, J=8.7, 6.7 Hz, 1H), 2.77-2.58 (m, 4H), 2.47-2.37 (m, 2H), 1.92 (dd, J=13.9, 3.5 Hz, 2H), 1.62-1.48 (m, 2H), 1.45 (d, J=6.5 Hz, 3H), 1.31 (s, 9H).

Example 133: (2R*,4s,8S*)-2-4(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-8-methyl-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared via separation of (racemic)-(2s,4s)-2-(4-(4-(tert-butyl)phenyl)piperidine-1-carbonyl)-8-methyl-7-oxa-5-azaspiro[3.4]octan-6-one (Example 131) by chiral supercritical fluid chromatography (Stationary phase: Lux Cellulose 4, 5 μm 250×21 mm; Mobile phase: 50% MeOH, 50% CO₂). MS (ESI): mass calcd. for C₂₃H₃₂N₂O₃, 384.2; m/z found, 385.3 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.37-7.30 (m, 2H), 7.14-7.08 (m, 2H), 5.99 (s, 1H), 4.80-4.71 (m, 1H), 4.52 (q, J=6.5 Hz, 1H), 3.80 (dd, J=13.8, 3.4 Hz, 1H), 3.11 (tt, J=13.0, 2.4 Hz, 1H), 2.99 (tt, J=8.7, 6.7 Hz, 1H), 2.77-2.59 (m, 4H), 2.47-2.37 (m, 2H), 1.92 (dt, J=13.7, 2.4 Hz, 2H), 1.67-1.49 (m, 2H), 1.45 (d, J=6.4 Hz, 3H), 1.31 (s, 9H).

Example 134: (2s,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-8,8-dimethyl-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-[4-(tert-butyl)phenyl]piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride and using (2s,4s)-8,8-dimethyl-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 7) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3). MS (ESI): mass calcd. for C₂₄H₃₄N₂O₃, 398.3; m/z found, 399.3 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.36-7.31 (m, 2H), 7.15-7.08 (m, 2H), 6.19 (s, 1H), 4.82-4.72 (m, 1H), 3.83-3.73 (m, 1H), 3.18-2.99 (m, 2H), 2.80-2.61 (m, 4H), 2.43-2.32 (m, 2H), 1.92 (dt, J=13.5, 3.2 Hz, 2H), 1.70-1.47 (m, 2H), 1.41 (s, 6H), 1.31 (s, 9H).

Example 135: (2s,4s)-2-(4-(4-Chlorophenyl)-4-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(4-chlorophenyl)-4-methyl-piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₉H₂₃ClN₂O₃, 362.1; m/z found, 363.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.34-7.28 (m, 2H), 7.26-7.21 (m, 2H), 6.22 (s, 1H), 4.36 (s, 2H), 3.78-3.69 (m, 1H), 3.55-3.38 (m, 2H), 3.31-3.22 (m, 1H), 2.97 (p, J=8.2 Hz, 1H), 2.71-2.56 (m, 2H), 2.51-2.35 (m, 2H), 2.10-1.99 (m, 2H), 1.71-1.62 (m, 2H), 1.25 (s, 3H).

Example 136: (2s,4s)-2-(4-(Benzo[d]thiazol-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 2-(4-piperidyl)-1,3-benzothiazole instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₉H₂₁N₃O₃S, 371.1; m/z found, 372.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.97 (dt, J=8.2, 0.9 Hz, 1H), 7.86 (dt, J=8.0, 0.9 Hz, 1H), 7.49-7.44 (m, 1H), 7.39-7.34 (m, 1H), 6.19 (s, 1H), 4.69-4.60 (m, 1H), 4.38 (s, 2H), 3.89-3.80 (m, 1H), 3.35 (tt, J=11.2, 3.9 Hz, 1H), 3.26-3.16 (m, 1H), 3.02 (p, J=8.2 Hz, 1H), 2.94-2.85 (m, 1H), 2.75-2.64 (m, 2H), 2.54-2.44 (m, 2H), 2.29-2.18 (m, 2H), 1.92-1.78 (m, 2H).

Example 137: (2s,4s)-2-(4-Methyl-4-(p-tolyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-methyl-4-(p-tolyl)piperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₂₀H₂₆N₂O₃, 342.2; m/z found, 343.1 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.18 (q, J=8.3 Hz, 4H), 5.96-5.85 (m, 1H), 4.36 (s, 2H), 3.82-3.73 (m, 1H), 3.50-3.38 (m, 2H), 3.30-3.22 (m, 1H), 3.04-2.93 (m, 1H), 2.70-2.54 (m, 2H), 2.51-2.38 (m, 2H), 2.33 (s, 3H), 2.16-2.05 (m, 2H), 1.72-1.64 (m, 2H), 1.25 (s, 3H).

Example 138: (2s,4s)-2-(4-Fluoro-4-phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 4-fluoro-4-phenylpiperidine hydrochloride instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₁₈H₂₁FN₂O₃, 332.2; m/z found, 333.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.42-7.29 (m, 5H), 6.03 (s, 1H), 4.70-4.62 (m, 1H), 4.39 (s, 2H), 3.74-3.66 (m, 1H), 3.50 (td, J=13.2, 2.7 Hz, 1H), 3.12-3.01 (m, 2H), 2.76-2.64 (m, 2H), 2.56-2.46 (m, 2H), 2.13-1.78 (m, 4H).

Example 139: (2s,4s)-2-(4-(4-Methyl-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to Step C of Example 4 using 4-(4-methyl-3-(trifluoromethoxy)phenyl)piperidine (Intermediate 8) instead of 4-(2-methyl-4-(trifluoromethyl)phenyl)piperidin-1-ium chloride. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₄, 412.2; m/z found, 413.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.20-7.15 (m, 1H), 7.03-6.98 (m, 2H), 6.18 (s, 1H), 4.80-4.71 (m, 1H), 4.38 (s, 2H), 3.87-3.78 (m, 1H), 3.11 (td, J=13.1, 2.5 Hz, 1H), 3.03 (p, J=8.2 Hz, 1H), 2.78-2.60 (m, 4H), 2.51-2.44 (m, 2H), 2.27 (s, 3H), 1.95-1.87 (m, 2H), 1.63-1.46 (m, 2H).

Example 140: (2s,4s)-2-(4-(4-Chlorophenyl-4-ethylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

TEA (40 μL, 0.280 mmol) was added dropwise to a stirring 0° C. mixture of 4-(4-chlorophenyl)-4-ethylpiperidine hydrochloride (25.1 mg, 96.4 μmol), (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3, 15.0 mg, 87.6 μmol) and HATU (41.3 mg, 96.4 μmol) in DMA (876 μL). The reaction mixture was allowed to stir at room temperature for 14 h and subsequently diluted with water. Purification by reverse phase HPLC (ACN/H₂O, 0.05% TFA) afforded the title compound (25.3 mg, 67.1 μmol, 77% yield). MS (ESI): mass calcd. for C₂₀H₂₅ClN₂O₃, 376.2; m/z found, 377.1 [M+H]⁺. ¹H NMR (500 MHz, Methanol-d4) δ 7.39-7.29 (m, 4H), 4.47 (m, 2H), 3.95 (tin, 1H), 3.61 (m, 1H), 3.21-3.02 (m, 3H), 2.60-2.34 (m, 4H), 2.24-2.13 (m, 2H), 1.73-1.56 (m, 4H), 0.58 (t, J=7.5 Hz, 3H).

Example 141: (racemic)-(2s,4S)-2-((3R,4R)-4-(4-(tert-Butyl)phenyl-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

A solution of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3, 20 mg, 0.12 mmol), HATU (50 mg, 0.13 mmol), and DIPEA (60 μL, 0.35 mmol) in DMF (1 mL) was stirred for 10 minutes. Racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 12, 30 mg, 0.13 mmol) was added and the reaction mixture was stirred overnight at r.t. The reaction mixture was purified by reverse phase HPLC (Gilson, 0-100% ACN/water, NH₄OH modifier) to afford the title compound (9.2 mg, 0.24 mmol, 20% yield). MS (ESI): mass calcd. for C₂₃H₃₂N₂O₃, 384.2; m/z found, 385.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.37-7.29 (m, 2H), 7.10-7.02 (m, 2H), 5.83 (d, J=13.3 Hz, 1H), 4.90-4.56 (m, 1H), 4.38 (d, J=12.7 Hz, 2H), 3.91-3.58 (m, 1H), 3.46-2.86 (m, 3H), 2.77-2.37 (m, 5H), 2.22-2.08 (m, 1H), 2.07-1.93 (m, 1H), 1.71 (d, J=13.5 Hz, 1H), 1.31 (s, 9H), 0.70-0.61 (m, 3H).

Example 142: (2s,4S*)-2-((3R*,4R*)-4-(4-(tert-Butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

A sample of racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141, 54.4 mg) was resolved using chiral supercritical fluid chromatography (Chiralcel OZ column, 70% CO₂, 15% MeOH, 15% iPrOH, 0.2% isopropylamine eluent) to obtain the title compound, (20.4 mg, 0.053 mmol, 75% yield, 100% ee). MS (ESI): mass calcd. for C₂₃H₃₂N₂O₃, 384.2; m/z found, 385.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.36-7.29 (m, 2H), 7.09-7.04 (m, 2H), 6.43 (s, 1H), 4.86-4.54 (m, 1H), 4.42-4.33 (m, 2H), 3.94-3.83 (m, 1H), 3.42-2.85 (m, 4H), 2.83-2.37 (m, 4H), 2.22-1.93 (m, 2H), 1.78-1.64 (m, 1H), 1.31 (s, 9H), 0.72-0.58 (m, 3H).

Example 143: (2s,4R*)-2-((3S*,4S*)-4-(4-tert-Butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

A sample of racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141, 54.4 mg) was resolved using chiral supercritical fluid chromatography (Chiralcel OZ column, 70% CO₂, 15% MeOH, 15% iPrOH, 0.2% isopropylamine eluent) to obtain the title compound (21.7 mg, 0.056, 80% yield, 89% ee). MS (ESI): mass calcd. for C₂₃H₃₂N₂O₃, 384.2; m/z found, 385.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.36-7.28 (m, 2H), 7.09-7.01 (m, 2H), 6.66 (s, 1H), 4.86-4.50 (m, 1H), 4.39 (d, J=13.3 Hz, 2H), 3.93-3.85 (m, 1H), 3.45-2.86 (m, 3H), 2.83-2.63 (m, 3H), 2.59-2.33 (m, 2H), 2.35-1.90 (m, 2H), 1.87-1.60 (m, 1H), 1.31 (s, 9H), 0.65 (d, J=7.0 Hz, 3H).

Example 144: (racemic)-(2r,4S)-2-((3R,4R)-4-(4-(tert-Butyl)phenyl)-3-methylpiperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3). MS (ESI): mass calcd. for C₂₄H₃₄N₂O₂, 382.3; m/z found, 383.3 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ7.36-7.31 (m, 2H), 7.09-7.05 (m, 2H), 5.86 (d, J=12.2 Hz, 1H), 4.88-4.51 (m, 1H), 4.01-3.58 (m, 1H), 3.43-2.83 (m, 4H), 2.70-2.43 (m, 3H), 2.44-2.31 (m, 3H), 2.29-2.19 (m, 2H), 2.19-1.94 (m, 2H), 1.70 (s, 1H), 1.31 (s, 9H), 0.66 (d, J=7.0 Hz, 3H).

Example 145: (racemic)-(2s,4s)-2-(4-(4-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using 4-(4-(tert-butyl)phenyl)-2-methylpiperidine (Intermediate 25) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23). MS (ESI): mass calcd. for C₂₃H₃₂N₂O₃, 384.2; m/z found, 385.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.36-7.30 (m, 2H), 7.15-7.08 (m, 2H), 6.08-5.70 (m, 1H), 5.14-3.56 (m, 2H), 3.38-2.43 (m, 6H), 2.26-1.86 (m, 2H), 1.82-1.43 (m, 5H), 1.31 (s, 9H), 1.28-1.16 (m, 3H). Product is a mixture of diastereomers.

Example 146: (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using racemic cis-3-methyl-4-(3-(trifluoromethoxy)phenyl)piperidine (Intermediate 28) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23). MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₄, 412.2; m/z found, 413.3 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.38-7.29 (m, 1H), 7.10-7.06 (m, 2H), 6.98 (s, 1H), 6.22-6.12 (m, 1H), 4.93-4.55 (m, 1H), 4.46-4.28 (m, 2H), 3.95-3.61 (m, 1H), 3.53-3.31 (m, 1H), 3.19-2.87 (m, 3H), 2.78-2.62 (m, 3H), 2.60-2.40 (m, 2H), 2.24-2.08 (m, 1H), 2.06-1.90 (m, 1H), 0.68-0.63 (m, 3H).

Example 147: (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-methyl-4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using racemic cis-3-methyl-4-(3-methyl-4-(trifluoromethoxy)phenyl)piperidine (Intermediate 30) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 24). MS (ESI): mass calcd. for C₂₁H₂₅F₃N₂O₄, 426.2; m/z found, 427.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.16-7.11 (m, 1H), 7.01-6.98 (m, 1H), 6.98-6.94 (m, 1H), 6.22 (s, 1H), 4.89-4.58 (m, 1H), 4.42-4.34 (m, 2H), 3.92-3.61 (m, 1H), 3.52-3.34 (m, 1H), 3.19-2.83 (m, 3H), 2.78-2.61 (m, 3H), 2.60-2.40 (m, 2H), 2.30 (s, 3H), 2.20-2.05 (m, 1H), 2.04-1.88 (m, 1H), 0.71-0.59 (m, 3H).

Example 148: (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using racemic cis-3-methyl-4-(3-(trifluoromethyl)phenyl)piperidine (Intermediate 29) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23). MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₃, 396.2; m/z found, 397.2 [M+H]⁺. ¹H NMR (400 MHz, CDCl₃) δ 7.50-7.41 (m, 2H), 7.40-7.36 (m, 1H), 7.35-7.32 (m, 1H), 6.54-6.49 (m, 1H), 4.96-4.59 (m, 1H), 4.45-4.35 (m, 2H), 4.02-3.59 (m, 1H), 3.53-3.33 (m, 2H), 3.23-2.88 (m, 2H), 2.82-2.38 (m, 4H), 2.29-1.95 (m, 2H), 1.95-1.73 (m, 1H), 0.68-0.62 (m, 3H).

Example 149: (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using racemic cis-3-methyl-4-(4-(trifluoromethoxy)phenyl)piperidine (Intermediate 31) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23). MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₄, 412.2; m/z found, 413.1 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.22-7.09 (m, 4H), 5.85-5.62 (m, 1H), 4.93-4.56 (m, 1H), 4.42-4.33 (m, 2H), 3.96-3.55 (m, 1H), 3.42-2.81 (m, 4H), 2.77-2.41 (m, 4H), 2.22-1.88 (m, 2H), 1.79-1.68 (m, 1H), 0.68-0.61 (m, 3H).

Example 150: (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-fluoro-4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using racemic cis-3-methyl-4-(3-fluoro-4-(trifluoromethoxy)phenyl)piperidine (Intermediate 32) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23). MS (ESI): mass calcd. for C₂₀H₂₂F₄N₂O₄, 430.2; m/z found, 431.1 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.26-7.23 (m, 1H), 7.01-6.90 (m, 2H), 5.76-5.63 (m, 1H), 4.89-4.59 (m, 1H), 4.41-4.34 (m, 2H), 3.93-3.62 (m, 1H), 3.41-2.86 (m, 4H), 2.73-2.42 (m, 4H), 2.22-1.85 (m, 2H), 1.77-1.66 (m, 1H), 0.73-0.60 (m, 3H).

Example 151: (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using racemic cis-3-methyl-4-(4-(trifluoromethyl)phenyl)piperidine (Intermediate 33) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23). MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₃, 396.2; m/z found, 397.0 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.61-7.57 (m, 2H), 7.30-7.24 (m, 2H), 5.81-5.72 (m, 1H), 4.93-4.55 (m, 1H), 4.42-4.27 (m, 2H), 3.94-3.63 (m, 1H), 3.46-2.90 (m, 4H), 2.79-2.40 (m, 4H), 2.24-1.94 (m, 2H), 1.80-1.67 (m, 1H), 0.72-0.59 (m, 3H).

Example 152: (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(4-methyl-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using racemic cis-3-methyl-4-(4-methyl-3-(trifluoromethyl)phenyl)piperidine (Intermediate 10) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23). MS (ESI): mass calcd. for C₂₁H₂₅F₃N₂O₃, 410.2; m/z found, 411.1 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.39-7.34 (m, 1H), 7.25-7.22 (m, 1H), 7.21-7.14 (m, 1H), 5.84-5.73 (m, 1H), 4.89-4.58 (m, 1H), 4.42-4.30 (m, 2H), 3.95-3.58 (m, 1H), 3.43-2.86 (m, 4H), 2.76-2.41 (m, 7H), 2.24-1.95 (m, 2H), 1.76-1.69 (m, 1H), 0.68-0.55 (m, 3H).

Example 153: (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-methyl-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using racemic cis-3-methyl-4-(3-methyl-4-(trifluoromethyl)phenyl)piperidine (Intermediate 34) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23). MS (ESI): mass calcd. for C₂₁H₂₅F₃N₂O₃, 410.2; m/z found, 411.2 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.58-7.43 (m, 1H), 7.07-7.01 (m, 2H), 5.86-5.77 (m, 1H), 4.90-4.59 (m, 1H), 4.43-4.32 (m, 2H), 3.94-3.62 (m, 1H), 3.43-2.89 (m, 4H), 2.74-2.42 (m, 7H), 2.22-2.09 (m, 1H), 2.07-1.93 (m, 1H), 1.78-1.68 (m, 1H), 0.67-0.61 (m, 3H).

Example 154: (racemic)-(2s,4S)-2-((3R,4R)-4-([1,1′-Biphenyl]-3-yl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using racemic cis-4-([1,1′-biphenyl]-3-yl)-3-methylpiperidine (Intermediate 24) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23). MS (ESI): mass calcd. for C₂₅H₂₈N₂O₃, 404.2; m/z found, 405.1 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.59-7.56 (m, 2H), 7.48-7.42 (m, 3H), 7.41-7.32 (m, 3H), 7.14-7.10 (m, 1H), 5.81-5.64 (m, 1H), 4.90-4.59 (m, 1H), 4.45-4.28 (m, 2H), 3.94-3.59 (m, 1H), 3.45-2.91 (m, 4H), 2.74-2.43 (m, 5H), 2.27-2.01 (m, 1H), 1.83-1.73 (m, 1H), 0.78-0.64 (m, 3H).

Example 155: (racemic)-(2r,4S)-2-((3R,4R)-4-([1,1′-Biphenyl]-3-yl)-3-methylpiperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one

The title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using racemic cis-4-([1,1′-biphenyl]-3-yl)-3-methylpiperidine (Intermediate 24) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23) and (2r,4s)-6-oxo-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 4) instead of (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3). MS (ESI): mass calcd. for C₂₆H₃₀N₂O₂, 402.2; m/z found, 403.1 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.60-7.55 (m, 2H), 7.49-7.33 (m, 6H), 7.15-7.11 (m, 1H), 5.93-5.81 (m, 1H), 4.92-4.58 (m, 1H), 3.95-3.65 (m, 1H), 3.42-2.90 (m, 3H), 2.76-2.00 (m, 11H), 1.83-1.74 (m, 1H), 0.70 (d, J=7.0 Hz, 3H).

Example 156: (2s,4R*)-2-((2S*,4R*)-2-Methyl-4-(4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

A mixture of diastereomers of the title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using 4-(4-(trifluoromethyl)phenyl)-2-methylpiperidine (Intermediate 26) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23). This mixture was separated twice via chiral supercritical fluid chromatography (CHIRALPAK AD-H column, 70% CO₂, 30% MeOH eluent, then CHIRACEL OJ-H column, 93% CO₂, 7% MeOH eluent) to yield the title compound. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₃, 396.2; m/z found, 397.0 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.56 (d, J=8.1 Hz, 2H), 7.30 (d, J=8.1 Hz, 2H), 6.64 (s, 1H), 4.39 (s, 3H), 3.39 (d, J=98.3 Hz, 1H), 3.01 (q, J=8.1 Hz, 1H), 2.84-2.72 (m, 2H), 2.72-2.63 (m, 1H), 2.48 (tdd, J=12.2, 10.3, 3.8 Hz, 2H), 2.25-2.10 (m, 1H), 2.08-1.98 (m, 1H), 1.78-1.63 (m, 3H), 1.21 (d, J=6.4 Hz, 3H).

Example 157: (2s,4S*)-2-((2R*,4S*)-2-Methyl-4-(4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

A mixture of diastereomers of the title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using 4-(4-(trifluoromethyl)phenyl)-2-methylpiperidine (Intermediate 26) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23). This mixture was separated twice via chiral supercritical fluid chromatography (CHIRALPAK AD-H column, 70% CO₂, 30% MeOH eluent, then CHIRACEL OJ-H column, 93% CO₂, 7% MeOH eluent) to yield the title compound. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₃, 396.2; m/z found, 397.0 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.59-7.53 (m, 2H), 7.30 (d, J=8.1 Hz, 2H), 6.38 (s, 1H), 4.39 (s, 3H), 3.28 (s, 1H), 3.02 (p, J=8.0 Hz, 1H), 2.77 (ddt, J=12.1, 7.5, 1.5 Hz, 2H), 2.68-2.63 (m, 1H), 2.56-2.45 (m, 2H), 2.24-2.12 (m, 1H), 2.07-1.99 (m, 1H), 1.86-1.64 (m, 3H), 1.21 (d, J=6.4 Hz, 3H).

Example 158: (2s,4S*)-2-((2R*,4R*)-2-Methyl-4-(4-(trifluoromethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

A mixture of diastereomers of the title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using 4-(4-(trifluoromethyl)phenyl)-2-methylpiperidine (Intermediate 26) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23). This mixture was separated twice via chiral supercritical fluid chromatography (CHIRALPAK AD-H column, 70% CO₂, 30% MeOH eluent, then CHIRACEL OJ-H column, 93% CO₂, 7% MeOH eluent) to yield the title compound. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₃, 396.2; m/z found, 397.0 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.57 (d, J=8.1 Hz, 2H), 7.32-7.28 (m, 2H), 6.23-6.10 (m, 1H), 5.12-4.62 (m, 1H), 4.43-4.37 (m, 2H), 4.23-3.59 (m, 1H), 3.35-2.84 (m, 3H), 2.80-2.58 (m, 2H), 2.56-2.42 (m, 2H), 1.98-1.72 (m, 3H), 1.64-1.50 (m, 1H), 1.41-1.19 (m, 3H).

Example 159: (2s,4R*)-2-((2S*,4S*)-2-Methyl-4-(4-(trifluoromethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

A mixture of diastereomers of the title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using 4-(4-(trifluoromethyl)phenyl)-2-methylpiperidine (Intermediate 26) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23). This mixture was separated twice via chiral supercritical fluid chromatography (CHIRALPAK AD-H column, 70% CO₂, 30% MeOH eluent, then CHIRACEL OJ-H column, 93% CO₂, 7% MeOH eluent) to yield the title compound. MS (ESI): mass calcd. for C₂₀H₂₃F₃N₂O₃, 396.2; m/z found, 397.0 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.57 (d, J=8.0 Hz, 2H), 7.30 (d, J=7.9 Hz, 2H), 6.32-6.14 (m, 1H), 5.16-4.59 (m, 1H), 4.45-4.37 (m, 2H), 4.21-3.59 (m, 1H), 3.35-2.84 (m, 3H), 2.81-2.58 (m, 2H), 2.57-2.41 (m, 2H), 1.98-1.49 (m, 4H), 1.43-1.18 (m, 3H).

Example 160: (2s,4S*)-2-((3R*,4R*)-4-([1,1′-Biphenyl]-3-yl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

A sample of racemic (2s,4S)-2-((3R,4R)-4-([1,1′-biphenyl]-3-yl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 154, 76 mg) was resolved using chiral supercritical fluid chromatography (Lux-3 Cellulose column, 55% CO₂, 45% MeOH eluent) to obtain the title compound (28 mg, 0.053 mmol, 74% yield, 100% ee). MS (ESI): mass calcd. for C₂₅H₂₈N₂O₃, 404.2; m/z found, 405.1 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.59-7.55 (m, 2H), 7.48-7.31 (m, 7H), 7.14-7.09 (m, 1H), 6.43-6.38 (m, 1H), 4.92-4.58 (m, 1H), 4.45-4.27 (m, 2H), 3.95-3.62 (m, 1H), 3.46-2.90 (m, 3H), 2.80-2.63 (m, 2H), 2.59-2.37 (m, 2H), 2.28-2.15 (m, 1H), 2.13-2.01 (m, 1H), 1.81-1.74 (m, 1H), 0.71-0.67 (m, 3H).

Example 161: (2s,4R*)-2-((3S*,4S*)-4-([1,1′-Biphenyl]-3-yl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

A sample of racemic (2s,4S)-2-((3R,4R)-4-([1,1′-biphenyl]-3-yl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 154, 76 mg) was resolved using chiral supercritical fluid chromatography (Lux-3 Cellulose column, 55% CO₂, 45% MeOH eluent) to obtain the title compound (28.9 mg, 0.053 mmol, 76% yield, 100% ee). MS (ESI): mass calcd. for C₂₅H₂₈N₂O₃, 404.2; m/z found, 405.1 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.60-7.55 (m, 2H), 7.47-7.32 (m, 6H), 7.16-7.09 (m, 1H), 6.51-6.43 (m, 1H), 4.90-4.60 (m, 1H), 4.45-4.32 (m, 2H), 3.96-3.62 (m, 1H), 3.44-2.91 (m, 3H), 2.81-2.64 (m, 3H), 2.60-2.36 (m, 2H), 2.29-2.14 (m, 1H), 2.13-2.00 (m, 1H), 1.82-1.74 (m, 1H), 0.75-0.65 (m, 3H).

Example 162: (racemic)-(2s,4R)-2-((2S,4S)-4-(3-(tert-Butyl)phenyl-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

A mixture of diastereomers of the title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using 4-(3-(tert-butyl)phenyl)-2-methylpiperidine (Intermediate 27) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23). This mixture was separated via chiral supercritical fluid chromatography (IG column, 40% MeOH, 60% CO₂, 0.1% diethylamine eluent) to yield the title compound. MS (ESI): mass calcd. for C₂₃H₃₂N₂O₃, 384.2; m/z found, 385.0 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.29-7.21 (m, 3H), 7.21-7.18 (m, 1H), 7.02-6.97 (m, 1H), 5.88-5.75 (m, 1H), 5.10-4.60 (m, 1H), 4.41-4.28 (m, 2H), 4.22-3.55 (m, 1H), 3.37-2.83 (m, 3H), 2.80-2.43 (m, 3H), 1.98-1.76 (m, 2H), 1.65-1.47 (m, 2H), 1.35-1.24 (m, 12H).

Example 163: (2s,4R*)*-2-((2S*,4R*)-4-(4-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

A sample of (2s,4s)-2-(4-(4-(tert-butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 145) was separated by chiral supercritical fluid chromatography (OJ-H column, 15% EtOH, 85% CO₂ eluent) to obtain the title compound. MS (ESI): mass calcd. for C₂₃H₃₂N₂O₃, 384.2; m/z found, 385.0 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.33 (d, J=8.4 Hz, 2H), 7.11 (d, J=8.3 Hz, 2H), 6.18 (s, 1H), 4.38 (s, 2H), 3.08-2.98 (m, 1H), 2.80-2.72 (m, 1H), 2.71-2.59 (m, 2H), 2.56-2.44 (m, 2H), 2.14 (s, 1H), 2.06-1.92 (m, 1H), 1.82-1.63 (m, 5H), 1.31 (s, 9H), 1.19 (d, J=6.4 Hz, 3H).

Example 164: (2s,4S*)-2-((2R*,4R*)-4-(4-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

A sample of (2s,4s)-2-(4-(4-(tert-butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 145) was separated by chiral supercritical fluid chromatography (OJ-H column, 15% EtOH, 85% CO₂ eluent) to obtain the title compound. MS (ESI): mass calcd. for C₂₃H₃₂N₂O₃, 384.2; m/z found, 385.0 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.36-7.30 (m, 2H), 7.15-7.09 (m, 2H), 5.88-5.74 (m, 1H), 5.09-4.59 (m, 1H), 4.43-4.34 (m, 2H), 4.19-3.52 (m, 1H), 3.32-2.83 (m, 3H), 2.77-2.42 (m, 4H), 1.98-1.69 (m, 3H), 1.57-1.39 (m, 1H), 1.37-1.22 (m, 12H).

Example 165: (2s,4S*)-2-((2R*,4S*)-4-(4-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

A sample of (2s,4s)-2-(4-(4-(tert-butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 145) was separated by chiral supercritical fluid chromatography (OJ-H column, 15% EtOH, 85% CO₂ eluent) to obtain the title compound. MS (ESI): mass calcd. for C₂₃H₃₂N₂O₃, 384.2; m/z found, 385.0 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.36-7.29 (m, 2H), 7.14-7.08 (m, 2H), 6.14 (s, 1H), 4.38 (s, 2H), 3.08-2.95 (m, 1H), 2.79-2.73 (m, 1H), 2.72-2.58 (m, 2H), 2.56-2.39 (m, 2H), 2.14 (s, 1H), 2.04-1.96 (m, 1H), 1.82-1.63 (m, 5H), 1.31 (s, 9H), 1.19 (d, J=6.4 Hz, 3H).

Example 166: (2s,4R*)-2-((2S*,4S*)-4-(4-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

A sample of (2s,4s)-2-(4-(4-(tert-butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 145) was separated by chiral supercritical fluid chromatography (OJ-H column, 15% EtOH, 85% CO₂ eluent) to obtain the title compound. MS (ESI): mass calcd. for C₂₃H₃₂N₂O₃, 384.2; m/z found, 385.0 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.35-7.32 (m, 2H), 7.15-7.09 (m, 2H), 5.91-5.65 (m, 1H), 5.11-4.56 (m, 1H), 4.41-4.35 (m, 2H), 4.19-3.48 (m, 1H), 3.34-2.82 (m, 3H), 2.76-2.43 (m, 4H), 1.97-1.72 (m, 3H), 1.58-1.46 (m, 1H), 1.35-1.23 (m, 12H).

Example 167: (2s,4R*)-2-((2S*,4R*)-4-(3-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

A mixture of diastereomers of the title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using 4-(3-(tert-butyl)phenyl)-2-methylpiperidine (Intermediate 27) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23). This mixture was separated via chiral supercritical fluid chromatography (IG column, 40% MeOH, 60% CO₂, 0.1% diethylamine eluent) to yield the title compound. MS (ESI): mass calcd. for C₂₃H₃₂N₂O₃, 384.2; m/z found, 385.0 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.29-7.15 (m, 3H), 7.02-6.97 (m, 1H), 6.22 (s, 1H), 4.38 (s, 2H), 3.49 (d, J=4.2 Hz, 2H), 3.07-2.97 (m, 1H), 2.80-2.74 (m, 1H), 2.73-2.60 (m, 2H), 2.57-2.41 (m, 2H), 2.16 (s, 1H), 2.04-1.95 (m, 1H), 1.75-1.64 (m, 3H), 1.32 (s, 9H), 1.20 (d, J=6.4 Hz, 3H).

Example 168: (2s,4S*)-2-((2R*,4S*)-4-(3-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

A mixture of diastereomers of the title compound was prepared in a manner analogous to racemic (2s,4S)-2-((3R,4R)-4-(4-(tert-butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one (Example 141) using 4-(3-(tert-butyl)phenyl)-2-methylpiperidine (Intermediate 27) instead of racemic cis-3-methyl-4-(4-(tert-butyl)phenyl)piperidine (Intermediate 23). This mixture was separated via chiral supercritical fluid chromatography (IG column, 40% MeOH, 60% CO₂, 0.1% diethylamine eluent) to yield the title compound. MS (ESI): mass calcd. for C₂₃H₃₂N₂O₃, 384.2; m/z found, 385.0 [M+H]⁺. ¹H NMR (500 MHz, CDCl₃) δ 7.31-7.22 (m, 3H), 7.20-7.17 (m, 1H), 7.03-6.90 (m, 1H), 6.11 (s, 1H), 4.39 (d, J=6.0 Hz, 2H), 3.54-3.43 (m, 2H), 3.03 (p, J=8.0 Hz, 1H), 2.80-2.59 (m, 3H), 2.50 (tdd, J=12.0, 10.0, 3.4 Hz, 1H), 2.16 (s, 1H), 2.06-1.94 (m, 1H), 1.68 (s, 3H), 1.32 (d, J=1.5 Hz, 9H), 1.20 (d, J=6.4 Hz, 3H).

Example 169: (2s,4s)-2-(4-(6-(tert-Butyl)pyridin-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

Step A: tert-Butyl 4-(6-(tert-butyl)pyridin-2-yl)-4-hydroxypiperidine-1-carboxylate

In an oven-dried flask under N₂, 2-bromo-6-tert-butylpyridine (144 mg, 0.639 mmol) was taken up in anhydrous THF (2.5 mL) and cooled to −78° C. To this reaction mixture was added n-BuLi (0.37 mL, 0.590 mmol) and the reaction was stirred at −78° C. for 30 minutes. 1-Boc-4-piperidone (100 mg, 0.492 mmol) was added and the reaction mixture, and the reaction mixture was stirred at −78° C. for 1 h. After warming to rt, the reaction mixture was quenched with sat. aq. NH₄Cl and extracted with DCM. The combined organic layers were dried over Na₂SO₄, filtered, and concentrated under reduced pressure. Purification by FCC (0-50% EtOAc in hexanes) provided the title compound (115 mg, 70% yield). MS (ESI): mass calcd. for C₁₉H₃₀N₂O₃, 334.2; m/z found, 335.3 [M+H]⁺.

Step B: tert-Butyl 6-(tert-butyl)-3′,6′-dihydro-[2,4′-bipyridine]-1′(2′H)-carboxylate

To a cooled to 0° C. solution of tert-Butyl 4-(6-(tert-butyl)pyridin-2-yl)-4-hydroxypiperidine-1-carboxylate (50 mg, 0.149 mmol) in pyridine (0.75 mL) was added DMAP (1.9 mg, 0.0150 mmol) and thionyl chloride (21 μL, 0.299 mmol). The reaction mixture was warmed to rt and stirred for 2 h. The reaction mixture was quenched with sat. aq. NaHCO₃ and extracted with EtOAc. The organic layers were concentrated under reduced pressure to provide the title compound, which was used in the next step without further purification. MS (ESI): mass calcd. for C₁₉H₂₈N₂O₂, 316.2; m/z found, 317.3 [M+H]⁺.

Step C: tert-Butyl 4-(6-(tert-butyl)pyridin-2-yl)piperidine-1-carboxylate

To a solution of tert-butyl 6-(tert-butyl)-3′,6′-dihydro-[2,4′-bipyridine]-1′(2′H)-carboxylate (47 mg, 0.149 mmol) in EtOH (1.5 mL) was added Pd/C (16 mg, 0.0149 mmol, 10 wt. %). The reaction mixture was purged with H₂ and stirred at rt for 16 h. The reaction was filtered through Celite® and washed with MeOH. The resulting filtrate was concentrated under reduced pressure to provide the title compound, which used in the next step without further purification. MS (ESI): mass calcd. for C₁₉H₃₀N₂O₂, 318.2; m/z found, 319.3 [M+H]⁺.

Step D: 2-(tert-Butyl-6-(piperidin-4-yl)pyridine

A solution of tert-Butyl 4-(6-(tert-butyl)pyridin-2-yl)piperidine-1-carboxylate (47 mg, 0.148 mmol) in HCl (1.25M in EtOH, 1.2 mL) was stirred at 45° C. for 1 h. The reaction was concentrated under reduced pressure and the resulting title compound was used in the next step without further purification. MS (ESI): mass calcd. for C₁₄H₂₂N₂, 218.2; m/z found, 219.2 [M+H]⁺.

Step E: (2s,4s)-2-(4-(6-(tert-Butyl)pyridin-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one

To a solution of 2-(tert-Butyl)-6-(piperidin-4-yl)pyridine (37 mg, 0.170 mmol) and (2s,4s)-6-oxo-7-oxa-5-azaspiro[3.4]octane-2-carboxylic acid (Intermediate 3, 26 mg, 0.155 mmol) in DMF (0.70 mL), was added DIPEA (0.10 mL, 0.590 mmol) and HATU (63 mg, 0.162 mmol). The resulting reaction mixture was stirred at rt for 1 h. The reaction mixture was filtered through a PTFE filter and purified via RP-HPLC (5-95% ACN in 20 mM NH₄OH in water) to afford the title compound (36 mg, 66% yield). MS (ESI): mass calcd. for C₂₁H₂₉N₃O₃, 371.2; m/z found, 372.3 [M+H]⁺. ¹H NMR (400 MHz, Chloroform-d) δ 7.51 (t, J=7.8 Hz, 1H), 7.14 (dd, J=8.0, 0.8 Hz, 1H), 6.89 (dd, J=7.6, 0.8 Hz, 1H), 6.28 (s, 1H), 4.69-4.60 (m, 1H), 4.38 (s, 2H), 3.87-3.78 (m, 1H), 3.22-3.10 (m, 1H), 3.04 (p, J=8.2 Hz, 1H), 2.90 (tt, J=11.3, 3.8 Hz, 1H), 2.87-2.75 (m, 1H), 2.76-2.64 (m, 2H), 2.52-2.41 (m, 2H), 2.02-1.93 (m, 2H), 1.82-1.67 (m, 2H), 1.32 (s, 9H).

Biological Data

The assay used to measure the in vitro activity of MGL is adapted from the assay used for another serine hydrolase (FAAH) described in Wilson et al., 2003 (A high-throughput-compatible assay for determining the activity of fatty acid amide hydrolase. Wilson S J, Lovenberg T W, Barbier A J. Anal Biochem. 2003 Jul. 15; 318(2):270-5). The assay consists of combining endogenously expressed MGL from HeLa cells with test compounds, adding [glycerol-1,3-³H]-oleoyl glycerol, incubating for one hour, and then measuring the amount of cleaved [1,3-³H]-glycerol that passes through an activated carbon filter. The amount of cleaved, tritiated glycerol passing through the carbon filter is proportional to the activity of the MGL enzyme in a particular well/test condition.

Standard conditions for this assay combine 300 nM [Glycerol-1,3-³H]-oleoyl glycerol with human MGL from HeLa cells and test compounds for one hour, after which the reaction is filtered through activated carbon and tritium is measured in the flow through. The test compound concentration in screening mode is 10 μM, while the highest compound concentration in IC₅₀ assays is determined empirically. MGL is the predominant hydrolase in HeLa cells/cell homogenates.

TABLE 3 MGL IC₅₀ Ex # Compound Name (nM) 1 (2s,4s)-2-(4-(3-(2,2,2-Trifluoroethyl)phenyl)piperidine-1-carbonyl)- 16 7-oxa-5-azaspiro[3.4]octan-6-one; 2 (2s,4s)-2-(4-(3-Fluoro-5-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 23 7-oxa-5-azaspiro[3.4]octan-6-one; 3 (2s,4s)-2-(4-(2-Fluoro-5-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 48 7-oxa-5-azaspiro[3.4]octan-6-one; 4 (2s,4s)-2-(4-(2-Methyl-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)- 11 7-oxa-5-azaspiro[3.4]octan-6-one; 5 (2s,4s)-2-(4-(4-(Difluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- 27 azaspiro[3,4]octan-6-one; 6 (2s,4s)-2-(4-(3-(Trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- 12 azaspiro[3.4]octan-6-one; 7 (2s,4s)-2-(4-(2-Methyl-4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 14 7-oxa-5-azaspiro[3.4]octan-6-one; 8 (2s,4s)-2-(4-(3-Methyl-4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 1.6 7-oxa-5-azaspiro[3.4]octan-6-one; 9 (2s,4s)-2-(4-(4-Cyclopropylphenyl)piperidine-1-carbonyl)-7-oxa-5- 4.3 azaspiro[3.4]octan-6-one; 10 (2s,4s)-2-(4-(3-Methyl-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)- 4.3 7-oxa-5-azaspiro[3.4]octan-6-one; 11 (2s,4s)-2-(4-(4-Isopropylphenyl)piperidine-1-carbonyl)-7-oxa-5- 1.1 azaspiro[3.4]octan-6-one; 12 (2s,4s)-2-(4-(4-(Difluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- 53 azaspiro[3.4]octan-6-one; 13 (2s,4s)-2-(4-(4-Methyl-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)- 2.9 7-oxa-5-azaspiro[3.4]octan-6-one; 14 (2s,4s)-2-(4-(3-(tert-Butyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- 1.6 azaspiro[3.4]octan-6-one; 15 (2s,4s)-2-(4-(3-Isopropylphenyl)piperidine-1-carbonyl)-7-oxa-5- 6.9 azaspiro[3.4]octan-6-one; 16 (2r,4s)-2-(4-(4-Methyl-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)- 23 5-azaspiro[3.4]octan-6-one; 17 (2r,4s)-2-(4-(4-Cyclopropylphenyl)piperidine-1-carbonyl)-5- 22 azaspiro[3.4]octan-6-one; 18 (2r,4s)-2-(4-(3-Methyl-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)- 14 5-azaspiro[3.4]octan-6-one; 19 (2s,4s)-2-(4-(2-Fluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- 19 azaspiro[3.4]octan-6-one; 20 (2s,4s)-2-(4-(4-(2,2,2-Trifluoroethyl)phenyl)piperidine-1-carbonyl)- 8.2 7-oxa-5-azaspiro[3.4]octan-6-one; 21 (2s,4s)-2-(4-(3-Fluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- 37 azaspiro[3.4]octan-6-one; 22 (2r,4s)-2-(4-(3-(tert-Butyl)phenyl)piperidine-1-carbonyl)-5- 16 azaspiro[3.4]octan-6-one; 23 (2s,4s)-2-(4-(3-Cyclopropylphenyl)piperidine-1-carbonyl)-7-oxa-5- 10 azaspiro[3.4]octan-6-one; 24 (2s,4s)-2-(4-(2,2-Difluorobenzo[d][1,3]dioxol-5-yl)piperidine-1-carbonyl)- 19 7-oxa-5-azaspiro[3.4]octan-6-one; 25 (2s,4s)-2-(4-(4-Cyclobutylphenyl)piperidine-1-carbonyl)-7-oxa-5- 1.6 azaspiro[3.4]octan-6-one; 26 (2s,4s)-2-(4-(3-(1,1-Difluoroethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- 23 azaspiro[3.4]octan-6-one; 27 (2s,4s)-2-(4-(4-(1-Methylcyclopropyl)phenyl)piperidine-1-carbonyl)- 0.5 7-oxa-5-azaspiro[3.4]octan-6-one; 28 (2s,4s)-2-(4-(4-(1,1-Difluoroethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- 5.7 azaspiro[3.4]octan-6-one; 29 (2s,4s)-2-(4-(3-Fluoro-5-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- 96 azaspiro[3.4]octan-6-one; 30 (2s,4s)-2-(4-(2,3-Difluoro-4-methylphenyl)piperidine-1-carbonyl)- 16 7-oxa-5-azaspiro[3.4]octan-6-one; 31 (2s,4s)-2-(4-(2,5-Difluoro-4-methylphenyl)piperidine-1-carbonyl)- 30 7-oxa-5-azaspiro[3.4]octan-6-one; 32 (2r,4s)-2-(4-(4-Isopropylphenyl)piperidine-1-carbonyl)-5- 6.3 azaspiro[3.4]octan-6-one; 33 (2s,4s)-2-(4-(2-Fluoro-5-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- 110 azaspiro[3.4]octan-6-one; 34 (2s,4s)-2-(4-(3,4-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5- 14 azaspiro[3.4]octan-6-one; 35 (2s,4s)-2-(4-(2,3-Dihydro-1H-inden-5-yl)piperidine-1-carbonyl)-7-oxa-5- 5.4 azaspiro[3.4]octan-6-one; 36 (2s,4s)-2-(4-(3-Chloro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- 11 azaspiro[3.4]octan-6-one; 37 (2s,4s)-2-(4-(2-Fluoro-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- 32 azaspiro[3.4]octan-6-one; 38 (2s,4s)-2-(4-(3-Isopropoxyphenyl)piperidine-1-carbonyl)-7-oxa-5- 26 azaspiro[3.4]octan-6-one; 39 (2r,4s)-2-(4-(4-(1-Methylcyclopropyl)phenyl)piperidine-1-carbonyl)- 1.1 5-azaspiro[3.4]octan-6-one; 40 (2s,4s)-2-(4-(3-(1-Methylcyclopropyl)phenyl)piperidine-1-carbonyl)- 3.2 7-oxa-5-azaspiro[3.4]octan-6-one; 41 (2r,4s)-2-(4-(3-(1-Methylcyclopropyl)phenyl)piperidine-1-carbonyl)- 19 5-azaspiro[3.4]octan-6-one; 42 (2s,4s)-2-(4-(1H-Inden-5-yl)piperidine-1-carbonyl)-7-oxa-5- 9.2 azaspiro[3.4]octan-6-one; 43 (2s,4s)-2-(4-(2,3-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5- 35 azaspiro[3.4]octan-6-one; 44 (2s,4s)-2-(4-(4-Fluoro-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- 40 azaspiro[3.4]octan-6-one; 45 (2s,4s)-2-(4-(6-(tert-Butyl)pyridin-3-yl)piperidine-1-carbonyl)-7-oxa-5- 5.0 azaspiro[3.4]octan-6-one; 46 (2s,4s)-2-(4-(2-Chlorophenyl)piperidine-1-carbonyl)-7-oxa-5- 38 azaspiro[3.4]octan-6-one; 47 (2s,4s)-2-(4-(2,4-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5- 37 azaspiro[3.4]octan-6-one; 48 (2s,4s)-2-(4-(4-Phenoxyphenyl)piperidine-1-carbonyl)-7-oxa-5- 0.7 azaspiro[3.4]octan-6-one; 49 (2s,4s)-2-(4-(3-Methoxy-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)- 13 7-oxa-5-azaspiro[3.4]octan-6-one; 50 (2s,4s)-2-(4-(2-Cyclopropylphenyl)piperidine-1-carbonyl)-7-oxa-5- 94 azaspiro[3.4]octan-6-one; 51 (2r,4s)-2-(4-(4-Phenoxyphenyl)piperidine-1-carbonyl)-5- 4.2 azaspiro[3.4]octan-6-one; 52 (2s,4s)-2-(4-(2-Methyl-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)- 18 7-oxa-5-azaspiro[3.4]octan-6-one; 53 (2s,4s)-2-(4-(3-Phenoxyphenyl)piperidine-1-carbonyl)-7-oxa-5- 5.2 azaspiro[3.4]octan-6-one; 54 (2s,4s)-2-(4-(4-Chloro-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- 13 azaspiro[3.4]octan-6-one; 55 (2s,4s)-2-(4-(2-Methoxy-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)- 11 7-oxa-5-azaspiro[3.4]octan-6-one; 56 (2s,4s)-2-(4-(2-(Trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 140 7-oxa-5-azaspiro[3.4]octan-6-one; 57 (2s,4s)-2-(4-([1,1′-Biphenyl]-3-yl)piperidine-1-carbonyl)-7-oxa-5- 11 azaspiro[3.4]octan-6-one; 58 (2s,4s)-2-(4-(4-Methoxy-3-(trifluoromethoxy)phenyl)piperidine-l-carbonyl)- 17 7-oxa-5-azaspiro[3.4]octan-6-one; 59 (2s,4s)-2-(4-(4-(Pyridin-2-yloxy)phenyl)piperidine-l-carbonyl)-7-oxa-5- 36 azaspiro[3.4]octan-6-one; 60 (2s,4s)-2-(4-(4-Chloro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 5.7 7-oxa-5-azaspiro[3.4]octan-6-one; 61 (2s,4s)-2-(4-(4-Fluoro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 20 7-oxa-5-azaspiro[3.4]octan-6-one; 62 (2s,4s)-2-(4-(2-Chloro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 2.3 7-oxa-5-azaspiro[3.4]octan-6-one; 63 (2s,4s)-2-(4-(2-Methyl-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 4.3 7-oxa-5-azaspiro[3.4]octan-6-one; 64 (2r,4s)-2-(4-(3-Methyl-4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 24 5-azaspiro[3.4]octan-6-one; 65 (2s,4s)-2-(4-(4-Cyclopropyl-2-methylphenyl)piperidine-1-carbonyl)- 10 7-oxa-5-azaspiro[3.4]octan-6-one; 66 (2s,4s)-2-(4-(3-(tert-Butyl)-4-chlorophenyl)piperidine-1-carbonyl)- 0.6 7-oxa-5-azaspiro[3.4]octan-6-one; 67 (2s,4s)-2-(4-(3-(Difluoromethoxy)-4-methylphenyl)piperidine-1-carbonyl)- 21 7-oxa-5-azaspiro[3.4]octan-6-one; 68 (2s,4s)-2-(4-(3-(tert-Butyl)-4-fluorophenyl)piperidine-1-carbonyl)- 1.1 7-oxa-5-azaspiro[3.4]octan-6-one; 69 (2r,4s)-2-(4-(2-Methyl-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 15 5-azaspiro[3.4]octan-6-one; 70 (2s,4s)-2-(4-(3-Methyl-5-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 18 7-oxa-5-azaspiro[3.4]octan-6-one; 71 (2s,4s)-2-(4-(4-(Difluoromethoxy)-3-methylphenyl)piperidine-1-carbonyl)- 15 7-oxa-5-azaspiro[3.4]octan-6-one; 72 (2s,4s)-2-(4-(2-Methyl-5-(trifluoromethyl)phenyl)piperidine-1-carbonyl)- 280 7-oxa-5-azaspiro[3.4]octan-6-one; 73 (2r, 4s)-2-(4-(3-(tert-Butyl)-4-chlorophenyl)piperidine-1-carbony)-5- 3.8 azaspiro[3.4]octan-6-one; 74 (2r,4s)-2-(4-(2-Chloro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 13 5-azaspiro[3.4]octan-6-one; 75 (2s,4s)-2-(4-(4-Cyclopropoxyphenyl)piperidine-1-carbonyl)-7-oxa-5- 33 azaspiro[3.4]octan-6-one; 76 (2s,4s)-2-(4-(2-Fluoro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 6.6 7-oxa-5-azaspiro[3.4]octan-6-one; 77 (2s,4s)-2-(4-(3-(Pentafluoro-λ6-sulfaneyl)phenyl)piperidine-1-carbonyl)- 10 7-oxa-5-azaspiro[3.4]octan-6-one; 78 (2s,4s)-2-(4-(4-(Pentafluoro-λ6-sulfaneyl)phenyl)piperidine-1 -carbonyl)- 3.7 7-oxa-5-azaspiro[3.4]octan-6-one; 79 (2r,4s)-2-(4-(3-(tert-Butyl)-4-fluorophenyl)piperidine-1-carbonyl)-5- 5.9 azaspiro[3.4]octan-6-one; 80 (2s,4s)-2-(4-(4-Isobutylphenyl)piperidine-1-carbonyl)-7-oxa-5- 0.5 azaspiro[3.4]octan-6-one; 81 (racemic)- (2s,4s)-8-Methyl-2-(4-(4-(1-methylcyclopropyl)phenyl)piperidine- 11 1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 82 (2s,4s)-2-(4-(3-(2-Hydroxypropan-2-yl)phenyl)piperidine-1-carbonyl)- 50 7-oxa-5-azaspiro[3.4]octan-6-one; 83 (2s,4s)-2-(4-(3-Isobutylphenyl)piperidine-1-carbonyl)-7-oxa-5- 2.5 azaspiro[3.4]octan-6-one; 84 (2s,4s)-2-(4-(4-(2-Hydroxypropan-2-yl)phenyl)piperidine-1-carbonyl)- 4.7 7-oxa-5-azaspiro[3.4]octan-6-one; 85 (2s,4s)-2-(4-(3,5-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5- 94 azaspiro[3.4]octan-6-one; 86 (2s,4s)-2-(4-(2,4-Difluoro-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- 14 azaspiro[3.4]octan-6-one; 87 (2s,4s)-2-(4-(4-(Trimethylsilyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- 0.3 azaspiro[3.4]octan-6-one; 88 (2s,4s)-2-(4-(4-Fluoro-2,3-dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5- 18 azaspiro[3.4]octan-6-one; 89 (2s,4s)-2-(4-(2,5-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5- 560 azaspiro[3.4]octan-6-one; 90 (2s,4s)-2-(4-(3-Ethyl-4-fluorophenyl)piperidine-1-carbonyl)-7-oxa-5- 14 azaspiro[3.4]octan-6-one; 91 (2s,4s)-2-(4-(3,5-Difluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5- 42 azaspiro[3.4]octan-6-one; 92 (2S*,4s,8R*)-8-Methyl-2-(4-(4-(1-methylcyclopropyl)phenyl)piperidine- 14 1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 93 (2R*,4s,8S*)-8-Methyl-2-(4-(4-(1-methylcyclopropyl)phenyl)piperidine- 4.5 1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 94 (2s,4s)-2-(4-(3-(Trimethylsilyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- 0.7 azaspiro[3.4]octan-6-one; 95 (2r,4s)-2-(4-(4-(Trimethylsilyl)phenyl)piperidine-1-carbonyl)-5- 2.1 azaspiro[3.4]octan-6-one; 96 (2r,4s)-2-(4-(3-Isobutylphenyl)piperidine-1-carbonyl)-5- 23 azaspiro[3.4]octan-6-one; 97 (2s,4s)-2-(4-(4-(tert-Butyl)-3-methoxyphenyl)piperidine-1-carbonyl)- 0.4 7-oxa-5-azaspiro[3.4]octan-6-one; 98 (2s,4s)-2-(4-(4-Methoxy-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)- 14 7-oxa-5-azaspiro[3.4]octan-6-one; 99 (racemic)-(2s,4s)-2-(4-(4-(sec-Butyl)phenyl)piperidine-1-carbonyl)- 1.1 7-oxa-5-azaspiro[3.4]octan-6-one; 100 (racemic)-(2r,4s)-2-(4-(4-(sec-Butyl)phenyl)piperidine-1 -carbonyl)- 3.5 5-azaspiro[3.4]octan-6-one; 101 (2s,4s)-2-(4-(1H-Pyrrolo[2,3-b]pyridin-2-yl)piperidine-1-carbonyl)- 110 7-oxa-5-azaspiro[3.4]octan-6-one; 102 (2s,4s)-2-[4-(6-Fluorobenzofuran-3-yl)piperidine-1-carbonyl]-6-oxa-8- 11 azaspiro[3.4]octan-7-one; 103 (2s,4s)-2-(4-(4-(Trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- 15 azaspiro[3.4]octan-6-one; 104 (2s,4s)-2-(4-(Benzofuran-2-yl)piperidine-1-carbonyl)-7-oxa-5- 6.6 azaspiro[3.4]octan-6-one; 105 (2s,4s)-2-(4-(Naphthalen-2-yl)piperidine-1-carbonyl)-7-oxa-5- 10 azaspiro[3.4]octan-6-one; 106 (2s,4s)-2-(4-(1H-Indol-2-yl)piperidine-1-carbonyl)-7-oxa-5- 110 azaspiro[3.4]octan-6-one; 107 (2s,4s)-2-(4-(4-(Trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- 14 azaspiro[3.4]octan-6-one; 108 (2s,4s)-2-(4-(4-(Methylthio)phenyl)piperidine-1-carbonyl)-7-oxa-5- 16 azaspiro[3.4]octan-6-one; 109 (2s,4s)-2-(4-(4-(Dimethylamino)phenyl)piperidine-1-carbonyl)-7-oxa-5- 23 azaspiro[3.4]octan-6-one; 110 (2s,4s)-2-(4-(5-Chlorobenzofuran-2-yl)piperidine-1-carbonyl)-7-oxa-5- 3.9 azaspiro[3.4]octan-6-one; 111 (2s,4s)-2-(4-Phenylpiperidine-1-carbonyl)-7-oxa-5- 98 azaspiro[3.4]octan-6-one; 112 (2s,4s)-2-(4-(p-Tolyl)piperidine-1-carbonyl)-7-oxa-5- 42 azaspiro[3.4]octan-6-one; 113 (2s,4s)-2-(4-(Naphthalen-1-yl)piperidine-1-carbonyl)-7-oxa-5- 19 azaspiro[3.4]octan-6-one; 114 (2s,4s)-2-(4-(4-Fluorophenyl)piperidine-1-carbonyl)-7-oxa-5- 170 azaspiro[3.4]octan-6-one; 115 (2s,4s)-2-(4-(3-Chlorophenyl)piperidine-1-carbonyl)-7-oxa-5- 48 azaspiro[3.4]octan-6-one; 116 (2s,4s)-2-(4-(o-Tolyl)piperidine-1-carbonyl)-7-oxa-5- 230 azaspiro[3.4]octan-6-one; 117 (2s,4s)-2-(4-(4-Ethylphenyl)piperidine-1-carbonyl)-7-oxa-5- 8.2 azaspiro[3.4]octan-6-one; 118 (2s,4s)-2-(4-(3-(Trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- 18 azaspiro[3.4]octan-6-one; 119 (2s,4s)-2-(4-(2-Fluorophenyl)piperidine-1-carbonyl)-7-oxa-5- 66 azaspiro[3.4]octan-6-one; 120 (2s,4s)-2-(4-(3-Fluorophenyl)piperidine-1-carbonyl)-7-oxa-5- 100 azaspiro[3.4]octan-6-one; 121 (2s,4s)-2-(4-(4-Chlorophenyl)piperidine-1-carbonyl)-7-oxa-5- 23 azaspiro[3.4]octan-6-one; 122 (2s,4s)-2-(4-(m-Tolyl)piperidine-1-carbonyl)-7-oxa-5- 82 azaspiro[3.4]octan-6-one; 123 (2s,4s)-2-(4-(4-Methoxyphenyl)piperidine-1-carbonyl)-7-oxa-5- 98 azaspiro[3.4]octan-6-one; 124 (2s,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- 0.2 azaspiro[3.4]octan-6-one; 125 (2r,4s)-2-(4-(4-(Trifluoromethyl)phenyl)piperidine-1-carbonyl)-5- 95 azaspiro[3.4]octan-6-one; 126 (2r,4s)-2-(4-(5-Chlorobenzofuran-2-yl)piperidine-1-carbonyl)-5- 32 azaspiro[3.4]octan-6-one; 127 (2r,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-5- 0.9 azaspiro[3.4]octan-6-one; 128 (2s,4s)-2-(4-Methyl-4-phenylpiperidine-1-carbonyl)-7-oxa-5- 89 azaspiro[3.4]octan-6-one; 129 (2s,4s)-2-(4-(6-Chlorobenzo[d]isoxazol-3-yl)piperidine-1-carbonyl)- 38 7-oxa-5-azaspiro[3.4]octan-6-one; 130 (2s,4s)-2-(4-(3-(4-Chlorophenyl)-1,2,4-oxadiazol-5-yl)piperidine-1-carbonyl)- 10 7-oxa-5-azaspiro[3.4]octan-6-one; 131 (racemic)-(2s,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)- 4.5 8-methyl-7-oxa-5-azaspiro[3.4]octan-6-one; 132 (2S*,4s,8R*)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-8- 6.3 methyl-7-oxa-5-azaspiro[3.4]octan-6-one; 133 (2R*,4s,8S*)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-8- 2.4 methyl-7-oxa-5-azaspiro[3.4]octan-6-one; 134 (2s,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-8,8- 200 dimethyl-7-oxa-5-azaspiro[3.4]octan-6-one; 135 (2s,4s)-2-(4-(4-Chlorophenyl)-4-methylpiperidine-1-carbonyl)-7- 11 oxa-5-azaspiro[3.4]octan-6-one; 136 (2s,4s)-2-(4-(Benzo[d]thiazol-2-yl)piperidine-1-carbonyl)-7-oxa-5- 120 azaspiro[3.4]octan-6-one; 137 (2s,4s)-2-(4-Methyl-4-(p-tolyl)piperidine-1-carbonyl)-7-oxa-5- 14 azaspiro[3.4]octan-6-one; 138 (2s,4s)-2-(4-Fluoro-4-phenylpiperidine-1-carbonyl)-7-oxa-5- 340 azaspiro[3.4]octan-6-one; 139 (2s, 4s)-2-(4-(4-Methyl-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)- 4.7 7-oxa-5-azaspiro[3.4]octan-6-one; 140 (2s,4s)-2-(4-(4-Chlorophenyl)-4-ethylpiperidine-1-carbonyl)-7-oxa-5- 57 azaspiro[3.4]octan-6-one; 141 (racemic)-(2s,4S)-2-((3R,4R)-4-(4-(tert-Butyl)phenyl)-3- 0.2 methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 142 (2s,4S*)-2-((3R*,4R*)-4-(4-(tert-Butyl)phenyl)-3-methylpiperidine- 0.4 1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 143 (2s,4R*)-2-((3S*,4S*)-4-(4-(tert-Butyl)phenyl)-3-methylpiperidine- 0.3 1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 144 (racemic)-(2r,4S)-2-((3R,4R)-4-(4-(tert-Butyl)phenyl)-3- 2.5 methylpiperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; 145 (racemic)-(2s,4s)-2-(4-(4-(tert-Butyl)phenyl)-2-methylpiperidine-1- 0.3 carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 146 (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-(trifluoromethoxy)phenyl)piperidine- 9.4 1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 147 (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-methyl-4-(trifluoromethoxy)phenyl) 4.7 piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 148 (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3- 24 (trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 149 (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(4-(trifluoromethoxy)phenyl)piperidine- 15 1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 150 (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-fluoro-4- 8.2 (trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 151 (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(4- 24 (trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 152 (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(4-methyl-3- 2.5 (trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 153 (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-methyl-4- 3.7 (trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 154 (racemic)-(2s,4S)-2-((3R,4R)-4-([1,1′-Biphenyl]-3-yl)-3- 1.2 methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 155 (racemic)-(2r,4S)-2-((3R,4R)-4-([1,1′-Biphenyl]-3-yl)-3- 10 methylpiperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; 156 (2s,4R*)-2-((2S*,4R*)-2-Methyl-4-(4- 47 (trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 157 (2s,4S*)-2-((2R*,4S*)-2-Methyl-4-(4- 12 (trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 158 (2s,4S*)-2-((2R*,4R*)-2-Methyl-4-(4- 280 (trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5- azaspiro[3.4]octan-6-one; 159 (2s,4R*)-2-((2S*,4S*)-2-Methyl-4-(4- 89 (trifluoromethyl)phenyl)piperidine-l-carbonyl)-7-oxa-5- azaspirof3.4]octan-6-one; 160 (2s,4S*)-2-((3R*,4R*)-4-([1,1′-Biphenyl]-3-yl)-3-methylpiperidine- 7.9 1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 161 (2s,4R*)-2-((3S*,4S*)-4-([1,1′-Biphenyl]-3-yl)-3-methylpiperidine- 1.5 1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 162 (racemic)-(2s,4R)-2-((2S,4S)-4-(3-(tert-Butyl)phenyl)-2- 2.5 methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 163 (2s,4R*)-2-((2S*,4R*)-4-(4-(tert-Butyl)phenyl)-2-methylpiperidine- 0.2 1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 164 (2s,4S*)-2-((2R*,4R*)-4-(4-(tert-Butyl)phenyl)-2-methylpiperidine- 25 1-carbonyl)-7-oxa-5-azaspiro[3.4] octan-6-one; 165 (2s,4S*)-2-((2R*,4S*)-4-(4-(tert-Butyl)phenyl)-2-methylpiperidine- 0.3 1 -carbonyl)-7-oxa-5 -azaspiro[3.4] octan-6-one; 166 (2s,4R*)-2-((2S*,4S*)-4-(4-(tert-Butyl)phenyl)-2-methylpiperidine- 19 1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 167 (2s,4R*)-2-((2S*,4R*)-4-(3-(tert-Butyl)phenyl)-2-methylpiperidine- 12 1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; 168 (2s,4S*)-2-((2R*,4S*)-4-(3-(tert-Butyl)phenyl)-2-methylpiperidine- 4.2 1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; and 169 (2s,4s)-2-(4-(6-(tert-Butyl)pyridin-2-yl)piperidine-1-carbonyl)-7- 5.7 oxa-5-azaspiro[3.4]octan-6-one. 

What is claimed is:
 1. A compound of Formula (I):

wherein X is CH₂ or O; R^(2a) and R^(2b) are each independently selected from H and C₁₋₄alkyl; R³ is selected from: (a) phenyl; phenyl substituted with one, two or three members each independently selected from: halo, C₁₋₆alkyl, C₁₋₆haloalkyl, C(CH₃)₂OH, OC₁₋₆alkyl, OC₁₋₆haloalkyl, SCH₃, SF₅, Si(CH₃)₃, N(CH₃)₂, C₃₋₆cycloalkyl, OC₃₋₆cycloalkyl, phenyl, O-phenyl, O-pyridyl and C₃₋₆cycloalkyl substituted with CH₃; and (b) pyridyl substituted with C₁₋₆alkyl; naphthyl;

R⁴ is selected from: H, F, and C₁₋₃alkyl; and R^(5a) and R^(5b) are each independently selected from H and CH₃; or a pharmaceutically acceptable salt, isotope, N-oxide, solvate, or stereoisomer thereof.
 2. The compound of claim 1, wherein X is CH₂.
 3. The compound of claim 1, wherein X is O.
 4. The compound of claim 1, wherein R^(2a) and R^(2b) are each H.
 5. The compound of claim 1, wherein R^(2a) and R^(2b) are each CH₃.
 6. The compound of claim 1, wherein R^(2a) is H and R^(2b) is CH₃.
 7. The compound of claim 1, wherein R³ is phenyl; or phenyl substituted with one, two or three members each independently selected from: Cl, F, C₁₋₆alkyl, C₁₋₆haloalkyl, C(CH₃)₂OH, OC₁₋₆alkyl, OC₁₋₆haloalkyl, SCH₃, Si(CH₃)₃, SF₅, N(CH₃)₂, C₃₋₆cycloalkyl, C₃₋₆cycloalkyl substituted with CH₃, OC₃₋₆cycloalkyl, phenyl, O-phenyl, and O-pyridyl.
 8. The compound of claim 7, wherein R³ is phenyl substituted with one, two or three members each independently selected from: Cl, F, C₁₋₆alkyl, C₁₋₆haloalkyl, OC₁₋₆alkyl, OC₁₋₆haloalkyl, SCH₃, SF₅, and Si(CH₃)₃.
 9. The compound of claim 7, wherein R³ is 4-trifluoromethylphenyl, 3-trifluoromethoxyphenyl, 3-tert-butylphenyl, 4-tert-butylphenyl, or 3-(1-methylcyclopropyl)phenyl.
 10. The compound of claim 1, wherein R⁴ is H, F, CH₃ or CH₂CH₃.
 11. The compound of claim 1, wherein R^(5a) and R^(5b) are each H.
 12. The compound of claim 1, wherein R^(5a) is CH₃ and R^(5b) is H or R^(5a) is H and R^(5b) is CH₃.
 13. The compound of claim 1, wherein


14. A compound selected from: (2s,4s)-2-(4-(3-(2,2,2-Trifluoroethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-Fluoro-5-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2-Fluoro-5-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2-Methyl-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-(Difluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-(Trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2-Methyl-4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-Methyl-4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Cyclopropylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Isopropylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-(Difluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Methyl-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-(tert-Butyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-Isopropylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(4-Methyl-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(4-Cyclopropylphenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(3-Methyl-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2-Fluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-(2,2,2-Trifluoroethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-Fluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(3-(tert-Butyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-Cyclopropylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2,2-Difluorobenzo[d][1,3]dioxol-5-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Cyclobutylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-(1,1-Difluoroethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-(1-Methylcyclopropyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-(1,1-Difluoroethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-Fluoro-5-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2,3-Difluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2,5-Difluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(4-Isopropylphenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2-Fluoro-5-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3,4-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2,3-Dihydro-1H-inden-5-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-Chloro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2-Fluoro-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-Isopropoxyphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(4-(1-Methylcyclopropyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-(1-Methylcyclopropyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(3-(1-Methylcyclopropyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(1H-Inden-5-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2,3-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Fluoro-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(6-(tert-Butyl)pyridin-3-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2-Chlorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2,4-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Phenoxyphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-Methoxy-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2-Cyclopropylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(4-Phenoxyphenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2-Methyl-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-Phenoxyphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Chloro-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2-Methoxy-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2-(Trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-([1,1′-Biphenyl]-3-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Methoxy-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-(Pyridin-2-yloxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Chloro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Fluoro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2-Chloro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2-Methyl-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(3-Methyl-4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Cyclopropyl-2-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-(tert-Butyl)-4-chlorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-(Difluoromethoxy)-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-(tert-Butyl)-4-fluorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(2-Methyl-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-Methyl-5-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-(Difluoromethoxy)-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2-Methyl-5-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(3-(tert-Butyl)-4-chlorophenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(2-Chloro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Cyclopropoxyphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2-Fluoro-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-(Pentafluoro-λ6-sulfaneyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-(Pentafluoro-λ6-sulfaneyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(3-(tert-Butyl)-4-fluorophenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Isobutylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2s,4s)-8-Methyl-2-(4-(4-(1-methylcyclopropyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-(2-Hydroxypropan-2-yl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-Isobutylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-(2-Hydroxypropan-2-yl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3,5-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2,4-Difluoro-3-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-(Trimethylsilyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Fluoro-2,3-dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2,5-Dimethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-Ethyl-4-fluorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3, 5-Difluoro-4-methylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2S*,4s,8R*)-8-Methyl-2-(4-(4-(1-methylcyclopropyl)phenyl)piperidine--carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2R*,4s,8S*)-8-Methyl-2-(4-(4-(1-methylcyclopropyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-(Trimethylsilyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(4-(Trimethylsilyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(3-Isobutylphenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-(tert-Butyl)-3-methoxyphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Methoxy-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2s,4s)-2-(4-(4-(sec-Butyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2r,4s)-2-(4-(4-(sec-Butyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(1H-Pyrrolo[2,3-b]pyridin-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-[4-(6-Fluorobenzofuran-3-yl)piperidine-1-carbonyl]-6-oxa-8-azaspiro[3.4]octan-7-one; (2s,4s)-2-(4-(4-(Trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(Benzofuran-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(Naphthalen-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(1H-Indol-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-(Trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-(Methylthio)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-(Dimethylamino)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(5-Chlorobenzofuran-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-Phenylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(p-Tolyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(Naphthalen-1-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Fluorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-Chlorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(o-Tolyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Ethylphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-(Trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(2-Fluorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-Fluorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Chlorophenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(m-Tolyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Methoxyphenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(4-(Trifluoromethyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(5-Chlorobenzofuran-2-yl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2r,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-Methyl-4-phenylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(6-Chlorobenzo[d]isoxazol-3-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(3-(4-Chlorophenyl)-1,2,4-oxadiazol-5-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2s,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-8-methyl-7-oxa-5-azaspiro[3.4]octan-6-one; (2S*,4s,18R*)-2-(4-(4-(tert-Butyl)phenyl)piperidine--carbonyl)-8-methyl-7-oxa-5-azaspiro[3.4]octan-6-one; (2R*,4s,8S*)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-8-methyl-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-(tert-Butyl)phenyl)piperidine-1-carbonyl)-8,8-dimethyl-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Chlorophenyl)-4-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(Benzo[d]thiazol-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-Methyl-4-(p-tolyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-Fluoro-4-phenylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Methyl-3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4s)-2-(4-(4-Chlorophenyl)-4-ethylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2s,4S)-2-((3R,4R)-4-(4-(tert-Butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4S*)-2-((3R*,4R*)-4-(4-(tert-Butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4R*)-2-((3S*,4S*)-4-(4-(tert-Butyl)phenyl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2r,4S)-2-((3R,4R)-4-(4-(tert-Butyl)phenyl)-3-methylpiperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (racemic)-(2s,4s)-2-(4-(4-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-methyl-4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-fluoro-4-(trifluoromethoxy)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(4-methyl-3-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2s,4S)-2-((3R,4R)-3-Methyl-4-(3-methyl-4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2s,4S)-2-((3R,4R)-4-([1,1′-Biphenyl]-3-yl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2r,4S)-2-((3R,4R)-4-([1,1′-Biphenyl]-3-yl)-3-methylpiperidine-1-carbonyl)-5-azaspiro[3.4]octan-6-one; (2s,4R*)-2-((2S*,4R*)-2-Methyl-4-(4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4S*)-2-((2R*,4S*)-2-Methyl-4-(4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4S*)-2-((2R*,4R*)-2-Methyl-4-(4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4R*)-2-((2S*,4S*)-2-Methyl-4-(4-(trifluoromethyl)phenyl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4S*)-2-((3R*,4R*)-4-([1,1′-Biphenyl]-3-yl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4R*)-2-((3S*,4S*)-4-([1,1′-Biphenyl]-3-yl)-3-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (racemic)-(2s,4R)-2-((2S,4S)-4-(3-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4R*)-2-((2S*,4R*)-4-(4-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4S*)-2-((2R*,4R*)-4-(4-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4S*)-2-((2R*,4S*)-4-(4-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4R*)-2-((2S*,4S*)-4-(4-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4R*)-2-((2S*,4R*)-4-(3-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; (2s,4S*)-2-((2R*,4S*)-4-(3-(tert-Butyl)phenyl)-2-methylpiperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; and (2s,4s)-2-(4-(6-(tert-Butyl)pyridin-2-yl)piperidine-1-carbonyl)-7-oxa-5-azaspiro[3.4]octan-6-one; or a pharmaceutically acceptable salt, isotope, N-oxide, solvate, or stereoisomer thereof.
 15. The compound of claim 1, having the structure of Formula (IA):

wherein R³ is selected from: (a) phenyl substituted with one or two members each independently selected from: halo, C₁₋₆alkyl, C₁₋₆haloalkyl, OC₁₋₆haloalkyl, Si(CH₃)₃, C₃₋₆cycloalkyl, phenyl, O-phenyl, and C₃₋₆cycloalkyl substituted with CH₃; and (b)

and R^(5b) is H or CH₃; or a pharmaceutically acceptable salt, isotope, N-oxide, solvate, or stereoisomer thereof.
 16. A compound of Formula (IB):

wherein R^(2a) and R^(2b) are each independently selected from H and CH₃; R³ is selected from: (a) phenyl; phenyl substituted with one, two or three members each independently selected from: Cl, F, C₁₋₆alkyl, C₁₋₆haloalkyl, C(CH₃)₂OH, OC₁₋₆alkyl, OC₁₋₆haloalkyl, SCH₃, SF₅, Si(CH₃)₃, N(CH₃)₂, cyclopropyl, cyclobutyl, O-cyclopropyl, phenyl, O-phenyl, O-pyridyl and

 and (b)

R⁴ is selected from: H, F, CH₃ and CH₂CH₃; R^(5a) is H or CH₃; and R^(5b) is H or CH₃; or a pharmaceutically acceptable salt, isotope, N-oxide, solvate, or stereoisomer thereof.
 17. A pharmaceutical composition comprising: (A) a therapeutically effective amount of at least one compound of claim 1, or a pharmaceutically acceptable salt, isotope, N-oxide, solvate, or stereoisomer thereof; and (B) at least one pharmaceutically acceptable excipient.
 18. A method of inhibiting the progress of or lessening the severity of a disease, disorder, or condition mediated by MGL receptor activity in a subject suffering from or diagnosed therewith, comprising administering to a subject in need of such treatment a therapeutically effective amount of at least one compound of claim 1, or a pharmaceutically acceptable salt, isotope, N-oxide, solvate, or stereoisomer thereof, wherein the MGL receptor mediated disease, disorder or condition is selected from: (a) pain, psychiatric conditions, neurological conditions, cancers, and eye conditions; (b) major depressive disorder, treatment-resistant depression, anxious depression, autism spectrum disorders, Asperger syndrome, and bipolar disorder; and (c) inflammatory pain. 